MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MASS GENERAL BRIGHAM INCORPORATED (EIN 02-0260334)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-06
IRS object ID: 201403109349300035
Schema version: 2013v3.0
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	2014-11-06T09:53:39-06:00	ReturnTs
Tax Period End	2013-12-31	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	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 507	AddressLine1
City	PORTLAND	City
State	ME	State
ZIP Code	04112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	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	BusinessNameLine1

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	AddressLine1
City	Dover	City
State	NH	State
ZIP Code	038202526	ZIPCode

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	2014-10-30	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

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	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	AddressLine1
City	Dover	City
State	NH	State
ZIP Code	038202526	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$324,965,405	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	11	VotingMembersIndependentCnt
Total Employee	1922	TotalEmployeeCnt
Total Volunteers	183	TotalVolunteersCnt
Total Gross UBI	$40,137	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$103,835	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$399,795	PYContributionsGrantsAmt
CY Contributions Grants	$1,060,342	CYContributionsGrantsAmt
PY Program Service Revenue	$261,106,980	PYProgramServiceRevenueAmt
CY Program Service Revenue	$266,095,424	CYProgramServiceRevenueAmt
PY Investment Income	$2,356,259	PYInvestmentIncomeAmt
CY Investment Income	$5,933,136	CYInvestmentIncomeAmt
PY Other Revenue	$3,720,476	PYOtherRevenueAmt
CY Other Revenue	$2,723,486	CYOtherRevenueAmt
PY Total Revenue	$267,583,510	PYTotalRevenueAmt
CY Total Revenue	$275,812,388	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$517,888	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$114,193,899	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$114,683,716	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$124,966,177	PYOtherExpensesAmt
CY Other Expenses	$126,110,422	CYOtherExpensesAmt
PY Total Expenses	$239,160,076	PYTotalExpensesAmt
CY Total Expenses	$241,312,026	CYTotalExpensesAmt
PY Revenues Less Expenses	$28,423,434	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,500,362	CYRevenuesLessExpensesAmt
Total Assets BOY	$391,052,627	TotalAssetsBOYAmt
Total Assets EOY	$417,735,614	TotalAssetsEOYAmt
Total Liabilities BOY	$178,955,247	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$181,078,438	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$212,097,380	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$236,657,176	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	$211,188,299	ExpenseAmt
Grant	$517,888	GrantAmt
Revenue	$269,140,353	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. 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 200% 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 $19,359,890 (as measured by gross charges) of community assistance programs in 2013, impacting 10,841 patients. In total, the Hospital and WDPC together provided $20,429,790 (as measured by gross charges) of community assistance programs in 2013, impacting 18,736 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. In 2008, a $9.3 million expansion project brought the Novalis TX stereotactic radiosurgery to the Seacoast, saving patients travel time to distant treatment centers. The new service gives hope to patients with complex tumors of the brain, liver and other vital organs. Wentworth-Douglass Hospital was the first hospital, nationwide, to install the Novalis TX system created by BrainLab and Varian Medical.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 200% 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	$211,188,299	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	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	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	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	227	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1922	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	11	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	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6037402804	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1
City	Dover	City
State	NH	State
ZIP Code	038202526	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (26 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	1.50	Yes (X)	$0	$0	$0
Gerald Daley EdD
Trustee	0.50	1.50	Yes (X)	$0	$0	$0
Lisa DeStefano
Trustee (Part Year)	0.50	1.50	Yes (X)	$0	$0	$0
Peter Dirksmeier MD
Trustee	1.90	0.10	Yes (X)	$0	$0	$10,292
David Flavin MD
Trustee	1.90	0.10	Yes (X)	$0	$0	$8,865
Anne Kalter MD
Trustee (Part Year)	1.90	0.10	Yes (X)	$0	$0	$3,497
Donna Rinaldi
Trustee	0.50	1.50	Yes (X)	$0	$0	$0
Theodore Ristaino
Trustee	0.50	1.50	Yes (X)	$0	$0	$0
John Salmon
Trustee	0.50	1.50	Yes (X)	$0	$0	$0
Steven C Webb
Trustee	0.50	1.50	Yes (X)	$0	$0	$0
Joseph White MD
Trustee	1.90	0.10	Yes (X)	$120,000	$0	$14,101
Richard Card
Trustee - Non-Voting (Part Year)	0.50	1.50	Yes (X)	$0	$0	$0
Linda Hagan
Trustee - Non-Voting (Part Year)	0.50	1.50	Yes (X)	$0	$0	$0
Ann Torr
Trustee - Non-Voting	0.50	1.50	Yes (X)	$0	$0	$0
Robert DeColfmacker
Trustee - Non-Voting	0.50	1.50	Yes (X)	$0	$0	$0
Neil Garvey
Chairman	2.90	3.10	Yes (X)	$0	$0	$0	Yes (X)
Roger Hamel
Vice Chairman	2.90	1.10	Yes (X)	$0	$0	$0	Yes (X)
Michael Steinberg
Treasurer	2.90	2.10	Yes (X)	$0	$0	$0	Yes (X)
Carol Bailey
Secretary	2.90	1.10	Yes (X)	$0	$0	$0	Yes (X)
Gregory J Walker
President/CEO	50.90	4.10	Yes (X)	$725,687	$0	$151,609	Yes (X)
Peter E Walcek
CFO/VP Finance	50.90	4.10		$343,239	$0	$86,022	Yes (X)
Paul R Cass DO
VP Medical Affairs/CMO	48.00	2.00		$443,435	$0	$84,428		Yes (X)
Ellen L Caille
Executive Vice President	48.00	2.00		$305,409	$0	$83,380		Yes (X)
Daniel N Dunn
COO/SR. VP Operations	50.00			$275,228	$0	$31,004		Yes (X)
Malcolm D Rosenson MD
Chief Quality & Safety Officer	50.00			$283,263	$0	$33,777		Yes (X)
Sheila M Woolley
CNO/VP Patient Care	50.00			$264,561	$0	$51,788		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,760,822	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$558,763	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Siemens Medical Solutions
51 Valley Stream Parkway	Malvern	PA	19355	IT Hardware/Implementation Services	$3,288,402
Sodexo Inc & Affiliates
9801 Washington Boulevard	Gaithersburg	MD	20878	Food Services/Management	$1,596,495
Mass General Physicians Organization
55 Fruit Street	Boston	MA	02114	Physician Services	$1,176,187
Siemens Healthcare Diagnostics Inc
511 Benedict Avenue	Tarrytown	NY	10591	Lab System, Service Contracts	$1,108,644
Dartmouth Hitchcock Clinic
One Medical Center	Lebanon	NH	03756	Physician Services	$1,058,986

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	39	CntrctRcvdGreaterThan100KCnt
Related Organizations	$920,612	RelatedOrganizationsAmt
All Other Contributions	$139,730	AllOtherContributionsAmt
Total Contributions	$1,060,342	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient service revenue	621400	$261,193,001	$261,193,001
Miscellaneous Revenue	621400	$1,608,558	$1,604,958	$3,600
Disproportionate Share Funding	621400	$1,216,908	$1,216,908
Cafeteria	722320	$1,172,036	$1,137,295	$34,741
Child care service	624410	$904,921	$904,921

Field	Value	IRS element (for citing)
Total Program Service Revenue	$266,095,424	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,486,881	TotalRevenueColumnAmt
Unrelated Business Revenue	$1,796	UnrelatedBusinessRevenueAmt
Exclusion	$2,485,085	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,187,109	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$564,919	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,622,190	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,622,190	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,981,974	RelatedOrExemptFuncIncomeAmt
Exclusion	-$359,784	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$52,005,047	SecuritiesAmt
Other	$29,306	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$48,546,292	SecuritiesAmt
Other	$41,806	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$3,458,755	SecuritiesAmt
Other	-$12,500	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,446,255	TotalRevenueColumnAmt
Exclusion	$3,446,255	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Meaningful Use	621400	$1,150,945	$1,150,945
Transcription	621400	$292,090	$292,090
Granite Shield	621990	-$341,739	-$341,739

Field	Value	IRS element (for citing)
Other Revenue Total	$1,101,296	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$275,812,388	TotalRevenueColumnAmt
Related Or Exempt Func Income	$269,140,353	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$40,137	UnrelatedBusinessRevenueAmt
Exclusion	$5,571,556	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	$517,888	TotalAmt
Program Services	$517,888	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,463,312	TotalAmt
Program Services	$156,755	ProgramServicesAmt
Management And General	$1,306,557	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$86,535,306	TotalAmt
Program Services	$73,511,359	ProgramServicesAmt
Management And General	$13,023,947	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,947,832	TotalAmt
Program Services	$2,505,657	ProgramServicesAmt
Management And General	$442,175	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,473,454	TotalAmt
Program Services	$13,152,436	ProgramServicesAmt
Management And General	$2,321,018	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,263,812	TotalAmt
Program Services	$7,024,240	ProgramServicesAmt
Management And General	$1,239,572	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$610,522	TotalAmt
Management And General	$610,522	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$136,800	TotalAmt
Management And General	$136,800	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$120,391	TotalAmt
Management And General	$120,391	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,571,437	TotalAmt
Program Services	$10,054,385	ProgramServicesAmt
Management And General	$517,052	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,298,016	TotalAmt
Program Services	$1,298,016	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,754,240	TotalAmt
Program Services	$3,191,104	ProgramServicesAmt
Management And General	$563,136	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,623,229	TotalAmt
Program Services	$2,844,235	ProgramServicesAmt
Management And General	$778,994	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$164,585	TotalAmt
Program Services	$123,439	ProgramServicesAmt
Management And General	$41,146	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$411,464	TotalAmt
Program Services	$411,464	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,429,408	TotalAmt
Program Services	$7,057,938	ProgramServicesAmt
Management And General	$371,470	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,831,009	TotalAmt
Program Services	$14,306,358	ProgramServicesAmt
Management And General	$2,524,651	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,273,793	TotalAmt
Program Services	$2,160,103	ProgramServicesAmt
Management And General	$113,690	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Medical Supplies/Equipm	$22,389,895	$19,031,411	$3,358,484
Provision for bad debt	$20,329,887	$20,329,887
Pharmacy	$13,820,138	$13,820,138
NH MET	$11,818,597	$11,818,597

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,527,011	TotalAmt
Program Services	$7,872,889	ProgramServicesAmt
Management And General	$2,654,122	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$241,312,026	TotalAmt
Program Services	$211,188,299	ProgramServicesAmt
Management And General	$30,123,727	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$84,530	BOYAmt
EOY	$93,879	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$30,851,230	BOYAmt
EOY	$34,220,424	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$26,154,938	BOYAmt
EOY	$27,581,849	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,962,092	BOYAmt
EOY	$3,032,389	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,857,846	BOYAmt
EOY	$16,842,367	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$349,939,043	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$194,636,139	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$158,621,078	BOYAmt
EOY	$155,302,904	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$114,254,557	BOYAmt
EOY	$121,450,749	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$25,338,281	BOYAmt
EOY	$37,674,568	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$16,942,723	BOYAmt
EOY	$14,176,610	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,294,854	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,985,352	BOYAmt
EOY	$6,065,021	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$391,052,627	BOYAmt
EOY	$417,735,614	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,620,379	BOYAmt
EOY	$43,974,565	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$42,710	BOYAmt
EOY	$1,645,537	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$123,332,387	BOYAmt
EOY	$109,718,444	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$10,965,576	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,959,771	BOYAmt
EOY	$14,774,316	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$178,955,247	BOYAmt
EOY	$181,078,438	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$208,698,661	BOYAmt
EOY	$233,422,596	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,143,142	BOYAmt
EOY	$1,809,612	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,255,577	BOYAmt
EOY	$1,424,968	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$212,097,380	BOYAmt
EOY	$236,657,176	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$391,052,627	BOYAmt
EOY	$417,735,614	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,500,362	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$12,133,978	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$22,074,544	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	$27,186	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$6,250	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$48,011	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 2013, 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, $21,133 AHA, portion of dues allocated to lobbying, $6,053	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$141,970,819	BeginningYearBalanceAmt
Contributions	$0	ContributionsAmt
Investment Earnings Or Losses	$24,584,570	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,712,136	OtherExpendituresAmt
End Year Balance	$155,843,253	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$87,480,527	BeginningYearBalanceAmt
Contributions	$9,452,164	ContributionsAmt
Investment Earnings Or Losses	$9,150,040	InvestmentEarningsOrLossesAmt
Other Expenditures	$16,959,842	OtherExpendituresAmt
End Year Balance	$89,122,889	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.94670	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00520	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.04810	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	$139,789,242	OtherCostOrOtherBasisAmt
Depreciation	$47,311,031	DepreciationAmt
Book Value	$92,478,211	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,575,369	OtherCostOrOtherBasisAmt
Depreciation	$4,331,401	DepreciationAmt
Book Value	$14,243,968	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$132,104,868	OtherCostOrOtherBasisAmt
Depreciation	$105,968,808	DepreciationAmt
Book Value	$26,136,060	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,176,792	OtherCostOrOtherBasisAmt
Depreciation	$37,024,899	DepreciationAmt
Book Value	$19,151,893	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$155,302,904	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Alternative investments	Desc
Book Value	$37,674,568	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$37,674,568	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	Est. Third-Party Payor Settlement	Desc
Amt	$14,774,316	Amt

Field	Value	IRS element (for citing)
Total Liability	$14,774,316	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$266,518,271	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$12,133,978	NetUnrealizedGainsInvstAmt
Revenue Not Reported	$12,133,978	RevenueNotReportedAmt
Revenue Subtotal	$254,384,293	RevenueSubtotalAmt
Investment Expenses Not Incld	$120,391	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	$21,307,704	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$21,428,095	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$275,812,388	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$239,359,999	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$239,359,999	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$120,391	InvestmentExpensesNotIncld2Amt
Other Expenses Not Included	$1,831,636	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$1,952,027	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$241,312,026	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 2010.
Part XI, Line 4b - Other Adjustments:	Investments in Joint Ventures 19,476,068. Community Benefit and Other Expense 1,831,636.
Part XII, Line 4b - Other Adjustments:	Community Benefit and Other Expense 1,831,636.

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, 2013	TypeOfActivitiesConductedTxt
Specific Services Provided	NONE	SpecificServicesProvidedTxt
Region Total Expenditures	$19,248,944	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	$19,248,944	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$19,248,944	TotalSpentAmt
Transfer To Foreign Corp	0	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
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
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	10841	PersonsServedCnt
Total Community Benefit Expns	$7,194,059	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,194,059	NetCommunityBenefitExpnsAmt
Total Expense	0.03260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,139,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,139,565	NetCommunityBenefitExpnsAmt
Total Expense	0.04140	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	10841	PersonsServedCnt
Total Community Benefit Expns	$16,333,624	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,333,624	NetCommunityBenefitExpnsAmt
Total Expense	0.07400	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	12796	PersonsServedCnt
Total Community Benefit Expns	$919,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$919,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$411,464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$411,464	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$611,568	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$611,568	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	12796	PersonsServedCnt
Total Community Benefit Expns	$1,942,163	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,942,163	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	23637	PersonsServedCnt
Total Community Benefit Expns	$18,275,787	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,275,787	NetCommunityBenefitExpnsAmt
Total Expense	0.08290	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,554,506	BadDebtExpenseAmt
Bad Debt Expense Attributable	$755,450	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$59,480,223	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$106,418,247	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$46,938,024	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	BusinessNameLine1

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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1
City	Dover	City
State	NH	State
ZIP Code	038202526	ZIPCode

Field	Value	IRS element (for citing)
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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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
Other Health Issues	Yes (X)	OtherHealthIssuesInd
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 Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Permit Lawsuit	Yes (X)	PermitLawsuitInd
Permit Lien On Residence	Yes (X)	PermitLienOnResidenceInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Lawsuit	Yes (X)	LawsuitInd
Liens On Residences	Yes (X)	LiensOnResidencesInd
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
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Wentworth-Douglass Hospital	FormAndLineReferenceDesc
Explanation	Part V, Section B, Line 7: Areas identified but not addressed due to lower priority or need for significant funding included: transportation to physician offices, neighborhood clinics/outreach, vision services, Lyme disease treatment, chronic conditions, homeless care, domestic violence, and substance abuse services (related mental health issues were included in the plan).	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	46	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (46 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Wentworth Homecare & Hospice
113 New Rochester Road	Dover	NH	03820	Hospice And Home Care Services
WDH Professional Center at Dover
10 Members Way	Dover	NH	03820	Diagnostic Services
Strafford Health Alliance
200 Route 108 3	Somersworth	NH	038781106	Physical Therapy Clinics & Women's Imaging Services
WDPC - Hospital Medicine Team
789 Central Avenue Level 2	Dover	NH	03820	Inpatient Physician Services
WHP Cardiovascular Group
19 Old Rollinsford Road	Dover	NH	03820	Specialty Care Practice
WDPC - Strafford Medical Associates
10 Members Way Suite 302	Dover	NH	03820	Primary Care Practice
Lee OTPTImaging
65 Calef Highway	Lee	NH	03861	Occupational/Physical Therapy & Imaging
Lee Urgent Care
65 Calef Highway	Lee	NH	03861	Urgent Care Facility & Diagnostic Services
WDPC - Adult & Children's Medicine
10 Members Way Suite 201	Dover	NH	03820	Primary Care Practice
WDPC - Dover Family Practice
10 Members Way Suite 203	Dover	NH	03820	Primary Care Practice
WDPC - Endocrinology & Diabetes
10 Members Way Suite 400	Dover	NH	03820	Specialty Care Practice
WDPC - Primary Care of Dover
10 Members Way Suite 300	Dover	NH	03820	Primary Care Practice
WDPC - Dover Internal and Geriatric Medi
10 Members Way Suite 301	Dover	NH	03820	Primary Care Practice
WDPC - South Berwick Family Practice
31 Colcord Street	South Berwick	ME	03908	Primary Care Practice
WDPC - Seacoast Pulmonary (Intensivists)
789 Central Avenue Level 3	Dover	NH	03820	Specialty Care Practice
WDPC - Durham Health Center
36 Madbury Road	Durham	NH	03824	Primary Care Practice
WDPC - Lee Family Practice
65 Calef Highway Suite 200	Lee	NH	03861	Primary Care Practice
Seacoast Cancer Center
789 Central Avenue	Dover	NH	03820	Specialty Care Practice
Durham Rehab and Sports Therapy Center
16 Jenkins Court	Durham	NH	03824	Specialty Care Practice
WDPC - Barrington Health Center
2 Century Pines Drive	Barrington	NH	03825	Primary Care Practice
WDPC - Hilltop Family Practice
85 Main Street	Somersworth	NH	03878	Primary Care Practice
WDPC - Bellamy Health Center
15 Old Rollinsford Road	Dover	NH	03820	Primary Care Practice
WDPC - Seacoast Arthritis & Osteoporosis
15 Old Rollinsford Road Suite 204	Dover	NH	03820	Specialty Care Practice
WDPC - Wentworth Community Dental Care
668 Central Avenue	Dover	NH	03820	Dental Services
WDPC - Marshwood Family Care
19 Levesque Drive Suite 2	Eliot	ME	03903	Primary Care Practice
WDPC - Great Bay Family Practice
60 Exeter Road Unit 3	Newmarket	NH	03857	Primary Care Practice
Wentworth-Douglass Hospital Early Learni
789 Central Avenue	Dover	NH	03820	Childcare Services
Health Partners of New Hampshire Inc
789 Central Avenue	Dover	NH	038202526	Physician/Hospital Organization
Plastic Surgery Specialists
10 Members Way Suite 303	Dover	NH	03820	Specialty Care Practice
Seacoast Integrative Medicine
15 Old Rollinsford Road Suite 204	Dover	NH	03820	Primary Care Practice
WDPC - Summit Infectious Disease
15 Old Rollinsford Road	Dover	NH	03820	Inpatient Physician Services
Center for Medical Genetics
17 Old Rollinsford Road Suite 6	Dover	NH	03842	Specialty Care Practice
Coastal Neurology Services
158 E NH Route 108 Suite 5	Dover	NH	03820	Specialty Care Practice
WHP - After Hours Clinic
10 Members Way Suite 203	Dover	NH	03820	Primary Care Practice
Outpatient Diabetes Services
10 Members Way Suite 203	Dover	NH	03820	Specialty Care Practice
Wound Healing Institute
789 Central Avenue	Dover	NH	03820	Specialty Care Practice
WDPC - Palliative Care
789 Central Avenue Level 3	Dover	NH	03820	Inpatient Physician Services
WHP Behavioral Health Services
10 Members Way Suite 302	Dover	NH	03820	Specialty Care Practice
WHP Thoracic Surgery Specialists
789 Central Avenue Level 1	Dover	NH	03820	Specialty Care Practice
Diabetes Services Inpatient Services
789 Central Avenue	Dover	NH	03820	Inpatient Physician Services
Allergy Associates of NH
10 Members Way Suite 200	Dover	NH	03820	Specialty Care Practice
Dover Women's Health
700 Central Avenue	Dover	NH	03820	Specialty Care Practice
Manchester Urology Association at Dover
10 Members Way Suite 402	Dover	NH	03820	Specialty Care Practice
Seacoast General Surgery
750 Central Avenue Suite N	Dover	NH	03820	Inpatient and Outpatient Surgical Services
Gynecology and Infertility Associates
15 Old Rollinsford Road	Dover	NH	03820	Specialty Care Practice
Wentworth Surgery Center LLC
PO Box 71	Somersworth	NH	03878	Inpatient and Outpatient Surgical Services

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	N/A
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 used to reduce charity care charges down to costs and was also used to calculate the Medicaid shortfall.
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 $ 20,329,887.
Part II, Community Building Activities:	See Form 990, Part III, Line 4a.
Part III, Line 4:	From footnote in the 2013 audited consolidated financial statements:"Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records a provision for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts."The Hospital uses the ratio of cost to charge methodology to reduce total bad debt expenses of $20,329,887 (reported on Form 990, Part IX, Line 24) down to cost. In 2013, it cost the Hospital $7,554,506 to provide care to patients, for which the Hospital received no payments for services rendered. While the Hospital considers the $7,554,506 to be the cost of care provided to patients for services rendered for which no payment was received, we do not consider this to be a community benefit and therefore have not reported it in Part I, Line 7.
Part III, Line 8:	In 2013, the Hospital provided care costing $106,418,247 to Medicare patients, for which it was reimbursed $59,480,223, representing a loss on Medicare services of $46,938,024. 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. While the Hospital considers the $46,938,024 cost to be a significant shortfall compared to the cost of providing the services rendered, we do not consider this amount to be a community benefit and therefore have not reported it in Part I, Line 7. Additionally, the amount of New Hampshire's Medicaid Enhancement Tax (MET) of $11,818,597(see Part IX, Line 24d) has not been reported in Part I, Line 7.
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's Community Benefit Task Force, a committee of the Board of Trustees that was established in 2000, conducts Community Health Needs Assessments every 3 years. The Health Needs Assessment completed in 2008 included five focus groups with key leaders from providers, government, healthcare, schools and social service agencies in the Hospital's primary service area. Four main projects are contained in the annual Community Assistance (Benefit) Plan as a result of the needs identified in the original and subsequent assessments: Financial Assistance (Charity Care), Medication Assistance, Care-Van Free Patient Transport and the Wentworth-Douglass Community Dental Center which provides dental health services and access to dental care to needy families in the community. A new Community Health Needs Assessment was conducted in 2013. It is being used to complete Part V, Section B, questions 1 through 8c of the Schedule H attached to the 2013 Form 990.
Part VI, Line 3:	WDH & 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:	WDH owns 100% of Wentworth-Douglass Physician Corporation (WDPC), d/b/a Wentworth Health Partners, which files its own Form 990 (see Schedule R for more details). WDH 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 $780,000 in 2013. WDPC supports numerous community based programs, including the Community Dental Center. 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 200% 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 2013, the Dental Center provided $385,142 of community-based clinic services through 2,898 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 200% of the federal poverty level. In 2013, WDPC provided $397,571 of financial aid (stated at cost).Medicaid Costs Exceeding Reimbursement totaled $169,503 for WDPC in 2013.Additionally, in 2013, 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 the Hospital, 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 (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Recipient EINRecipientEIN	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
City of Dover
288 Central Avenue	Dover	NH	03820	Governmental	$9,090	General Operating Support
Goodwin Community Health
311 Route 108	Somersworth	NH	03878	501(c)(3)	$270,000	Support for Community Health Center	020304203
Dartmouth Hitchcock Memorial Hospital
One Medical Center Drive	Lebanon	NH	03756	501(c)(3)	$38,220	Child Advocacy Program	020222140
Foundation for Healthcare for Humanity
777 East Atlantic Avenue	DelRay Beach	FL	33483	501(c)(3)		Donation of Inventory for General Support	650616502	$169,535	Book Value	Inventory

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	During the tax year 2013, 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 (7 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
Gregory J Walker
President/CEO	$410,195	$0	$111,478	$0	$204,014	$0	$125,854	$0	$25,755	$0	$877,296	$0	$0	$0
Peter E Walcek
CFO/VP Finance	$294,269	$0	$38,390	$0	$10,580	$0	$59,527	$0	$26,495	$0	$429,261	$0	$0	$0
Paul R Cass DO
VP Medical Affairs/CMO	$352,160	$0	$64,354	$0	$26,921	$0	$68,458	$0	$15,970	$0	$527,863	$0	$0	$0
Ellen L Caille
Executive Vice President	$241,615	$0	$36,274	$0	$27,520	$0	$51,911	$0	$31,469	$0	$388,789	$0	$0	$0
Daniel N Dunn
COO/SR. VP Operations	$225,149	$0	$20,843	$0	$29,236	$0	$13,834	$0	$17,170	$0	$306,232	$0	$0	$0
Malcolm D Rosenson MD
Chief Quality & Safety Officer	$278,543	$0	$0	$0	$4,720	$0	$10,200	$0	$23,577	$0	$317,040	$0	$0	$0
Sheila M Woolley
CNO/VP Patient Care	$215,582	$0	$19,852	$0	$29,127	$0	$33,818	$0	$17,970	$0	$316,349	$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) - 2013 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 2013, 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 2013 plan year, for those individuals identified in Schedule J - Part II, are as follows: Peter E. Walcek = $47,405, Paul R. Cass, DO = $55,708, Ellen L. Caille = $41,730, and Sheila Woolley = $22,838. 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 12/31/13 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	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	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/BusinessNameLine2	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	0
B	0

Supplemental Information Detail SupplementalInformationDetail (3 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 K, Part V	Both bonds are carefully and consistently monitored for potential violations of federal tax requirements, but the procedures were not written as of the end of the fiscal year. However, the Hospital adopted a written policy in February of 2014, prior to the filing of this return.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Peter Dirksmeier MD
Board Trustee and employee of SOSMED	$59,637	In 2013, OATS Realty, LLC paid the Hospital $39,926 as rental fees for professional medical space located at the WD Professional Center in Lee, NH and $9,419 for practice support services. Additionally, Dr. Dirksmeier received a contribution of $10,292 during 2013 to WDH's Call Pay Plan which is available to physicians and independent contractors who provide oncall services to the Hospital.	0
Gregory J Walker Peter E Walcek & Sheila M Woolley
President/CEO & CFO/VP Finance, CFO/VP Finance, & CNO/VP Patient Care	$762,500	Gregory J. Walker, President/CEO, Peter E. Walcek, CFO/VP Finance, and Sheila M. Woolley, CNO/VP Patient Care of the Hospital are board of managers of Wentworth Homecare and Hospice, LLC. The Hospital has a 50% ownership interest in Wentworth Homecare and Hospice, LLC. The Hospital accounts for its investment in joint ventures under the equity method. The 2013 income recorded for the Hospital's share of revenues equaled $699,337 from which it received a cash distribution of $762,500.	Yes (1)
Gregory J Walker & Peter E Walcek
President/CEO & CFO/VP Finance	$1,653,470	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 2013. WDH also made captive insurance payments totaling $1,653,470 to GSIE in 2013.	Yes (1)
Gregory J Walker
President/CEO	$229,216	Gregory J. Walker, President/CEO of the Hospital is the CEO of Granite Health Network. The Hospital maintained an ownership interest of 16.9% in Granite Healthcare Network in 2013. The Hospital paid a total of $229,216 in 2013 for monthly shared services.	Yes (1)
Joseph White
Board Trustee and president of medical staff	$134,101	In 2013, Dr. White received a stipend of $120,000 (as an independent contractor) for his services as president of the medical staff. Additionally, Dr. White received a contribution of $14,101 during 2013 to WDH's Call Pay Plan which is available to physicians and independent contractors who provide oncall services to the Hospital.	0
Anne Kalter MD
Board Trustee	$327,298	Dr. Anne Kalter was a 50% owner of Gynecology & Infertility Associates, P.A. and board member of the Hospital. During 2013 the Hospital made payments to Gynecology & Infertility Associates, P.A. of $49,486 for consulting services, call coverage services, and lease space. The Hospital also acquired the practice for $274,315, which includes a $17,232 prepayment of 2014 rent and property taxes. Additionally, Dr. Kalter received a contribution of $3,497 during 2013 to WDH's Call Pay Plan which is available to physicians and independent contractors who provide oncall services to the Hospital.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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 use 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.with the Charitable Trust Unit.
Form 990, Part VI, Line 1a and Line 1b:	Governing Body and Management: Steven C. Webb is a trustee of the Hospital and an executive at TD Banknorth. The Hospital maintains operating and payroll accounts with TD BankNorth. Transactions in 2013 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 Banknorth are at a fair market rate. For 2013, Mr. Webb has been classified as an independent board member.
Form 990, Part VII, Section A, Column D:	Reportable Compensation from the Organization: The 2013 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. Additionally, Drs. Kalter, White, Dirksmeier, and Flavin each received a contribution during 2013 to WDH's Call Pay Plan which is available to physicians and independent contractors who provide oncall services to the Hospital. These amounts have been reported in Part VII, Column (F).
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 2013, Wentworth-Douglass Hospital paid $11,818,597 in MET (see Part IX, line 24d) and received no uncompensated care payments.
Form 990, Part XI, line 9:	Net Loss on Investments in Joint Ventures & Related Organizations -19,476,068. Equity Transfer to Affiliate -2,840,000. Accrued Earnings in Joint Ventures Owned by Affiliates 241,524.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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 Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Community Health Corporation	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	789 Central Avenue	AddressLine1
City	Dover	City
State	NH	State
ZIP Code	03820	ZIPCode

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	Yes (1)	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	0	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 (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Wentworth-Douglass Community Health Corporation
A	$1,796	Actual per books
Wentworth-Douglass Community Health Corporation
K	$152,772	Actual per books
Wentworth-Douglass Community Health Corporation
O	$191,499	Actual per books
Wentworth-Douglass Community Health Corporation
Q	$130,719	Actual per books
Wentworth-Douglass Community Health Corporation
R	$98,681	Actual per books