MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MASS GENERAL BRIGHAM INCORPORATED (EIN 02-0260334)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-13
IRS object ID: 201303179349303735
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-13T13:38:52-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	010494526	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER NEWMAN & NOYES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020260334	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WENT	NameControl
Phone	6037425252	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Peter E Walcek	Name
Title	CFO/VP of Finance	Title
Phone	6037422804	Phone
Date Signed	2013-11-04	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Timothy R Hepburn CPA	Name
PTIN	P00182393	PTIN
Phone	2078792100	Phone
Date Prepared	2013-11-04	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Gregory J Walker	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	389274005	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.wdhospital.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1905	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	Help individuals and their families attain their highest level of health.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	1957	TotalNbrEmployees
Total Nbr Volunteers	124	TotalNbrVolunteers
Total Gross UBI	41673	TotalGrossUBI
Net Unrelated Business Txbl Income	-81509	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	457217	ContributionsGrantsPriorYear
Contributions Grants Current Year	399795	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	255309413	ProgramServiceRevenuePriorYear
Program Service Revenue CY	261106980	ProgramServiceRevenueCY
Investment Income Prior Year	1973618	InvestmentIncomePriorYear
Investment Income Current Year	2356259	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1831177	OtherRevenuePriorYear
Other Revenue Current Year	3720476	OtherRevenueCurrentYear
Total Revenue Prior Year	259571425	TotalRevenuePriorYear
Total Revenue Current Year	267583510	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	116699596	SalariesEtcPriorYear
Salaries Etc Current Year	114193899	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	117837593	OtherExpensePriorYear
Other Expenses Current Year	124966177	OtherExpensesCurrentYear
Total Expenses Prior Year	234537189	TotalExpensesPriorYear
Total Expenses Current Year	239160076	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	25034236	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	28423434	RevenuesLessExpensesCY
Total Assets BOY	364821497	TotalAssetsBOY
Total Assets EOY	391052627	TotalAssetsEOY
Total Liabilities BOY	173617834	TotalLiabilitiesBOY
Total Liabilities EOY	178955247	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	191203663	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	212097380	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	210748327	Expense
Revenue	265157690	Revenue
Description	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 benefits 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, Family Resource Counselor Program, Medication Assistance Program, Physician Referral Services, Care-Van transportation services, and Wentworth-Douglass Community Dental Center. The Hospital provided $20,445,904 (as measured by gross charges) of community assistance programs in 2012, impacting 11,809 patients. In total, the Hospital and WDPC together provided $21,403,940 (as measured by gross charges) of community assistance programs in 2012, impacting 19,316 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 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 daVinci Robotic Surgical System. Now in its sixth 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 nearly 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.	Description
Total Program Service Expense	210748327	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	225	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1957	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Peter E Walcek CFOVP of Finance	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6037402804	TelephoneNumber

Address US AddressUS

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	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Neil Garvey
Chairman	2.90	3.10	X	X	0	0	0
Roger Hamel
Vice Chairman	2.90	1.10	X	X	0	0	0
Michael Steinberg
Treasurer	2.90	2.10	X	X	0	0	0
Carol Bailey
Secretary	2.90	1.10	X	X	0	0	0
William Boc
Trustee (part year)	2.00		X		0	0	0
Michael Bolduc Esq
Trustee (part year)	1.90	4.10	X		0	0	0
Gerald Daley EdD
Trustee	1.90	0.10	X		0	0	0
Lisa DeStefano
Trustee	1.90	0.10	X		0	0	0
Peter Dirksmeier MD
Trustee	1.90	0.10	X		0	0	13566
David Flavin MD
Trustee	1.90	0.10	X		0	0	7305
Wes Kennedy
Trustee (part year)	2.00		X		0	0	0
Donna Rinaldi
Trustee	1.90	0.10	X		0	0	0
Theodore Ristaino
Trustee	1.90	0.10	X		0	0	0
John Salmon
Trustee (part year)	1.90	0.10	X		0	0	0
Steven C Webb
Trustee	1.90	0.10	X		0	0	0
Joseph White MD
Trustee	7.90	0.10	X		120000	0	12638
Ann Torr
Trustee - Emeritus (non-voting)	2.00	2.00	X		0	0	0
Robert Decolfmacker
Trustee - Emeritus (non-voting)	0.10		X		0	0	0
Linda Hagan
Trustee - non-voting	1.00	4.00	X		0	0	0
Gregory J Walker
President/CEO	50.90	4.10	X	X	694899	0	154440
Peter E Walcek
CFO/VP Finance	50.90	4.10		X	326880	0	82062
Paul R Cass DO
VP Medical Affairs/CMO	50.00				491784	0	78085	X
Ellen L Caille
Executive Vice President	48.00	2.00			290386	0	85109	X
Daniel N Dunn
COO/SR. VP Operations	50.00				270529	0	31947	X
Malcolm D Rosenson MD
Chief Dept Medicine	50.00				268386	0	36128	X
Sheila M Woolley
CNO/VP Patient Care	50.00				255842	0	43416	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2718706	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	544696	TotalOtherCompensation
Number Individuals GT100 K	123	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Siemens Medical Solutions
51 Valley Stream Parkway	Malvern	PA	19355	IT hardware/implementation services	4216946
Sodexo Inc & Affiliates
9801 Washington Boulevard	Gaithersburg	MD	20878	Food services/management	1537168
Health Plans Inc
1500 West Park Drive Suite 330	Westbrough	MA	01581	TPA fees - health plan	1112612
Siemens Healthcare Diagnostics Inc
511 Benedict Avenue	Tarrytown	NY	10591	Lab system, service contracts	1022927
Dartmouth Hitchcock Clinic
One Medical Center	Lebanon	NH	03756	Physician Services	899478

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	37	NumberOfContractorsGT100K
Related Organizations	233891	RelatedOrganizations
All Other Contributions	165904	AllOtherContributions
Total Contributions	399795	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient service revenue	900099	257391098	257391098
Cafeteria	722320	1200073	1170144	29929
Child care service	624410	899208	899208

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1616601	TotalRevenueColumn
Related Or Exempt Function Income	1616601	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	261106980	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1438711	TotalRevenueColumn
Unrelated Business Revenue	8144	UnrelatedBusinessRevenue
Exclusion	$1,430,567	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2143114	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	509816	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1633298	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1633298	TotalRevenueColumn
Related Or Exempt Function Income	1997061	RelatedOrExemptFunctionIncome
Exclusion	-$363,763	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	122098227	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	121174949	Securities
Other	5730	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	923278	Securities
Other	-5730	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	917548	TotalRevenueColumn
Exclusion	$917,548	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Meaningful Use	900099	1902871	1902871
Transcription	900099	311083	311083
Granite Shield	900099	-130376	-130376

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3600	TotalRevenueColumn
Unrelated Business Revenue	3600	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	2087178	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	267583510	TotalRevenueColumn
Related Or Exempt Function Income	265157690	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	41673	UnrelatedBusinessRevenue
Exclusion	$1,984,352	ExclusionAmount

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

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1328226	Total
Management And General	1328226	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	86479902	Total
Program Services	73507917	ProgramServices
Management And General	12971985	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2944789	Total
Program Services	2503071	ProgramServices
Management And General	441718	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	15445869	Total
Program Services	13128988	ProgramServices
Management And General	2316881	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7995113	Total
Program Services	6795846	ProgramServices
Management And General	1199267	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	514684	Total
Management And General	514684	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	122996	Total
Management And General	122996	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	80092	Total
Management And General	80092	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	9964936	Total
Program Services	9593231	ProgramServices
Management And General	371705	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	708301	Total
Program Services	708301	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3805031	Total
Program Services	3234276	ProgramServices
Management And General	570755	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3491199	Total
Program Services	2740591	ProgramServices
Management And General	750608	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	147120	Total
Program Services	110340	ProgramServices
Management And General	36780	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5635967	Total
Program Services	5354169	ProgramServices
Management And General	281798	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16910899	Total
Program Services	14374264	ProgramServices
Management And General	2536635	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1909134	Total
Program Services	1813677	ProgramServices
Management And General	95457	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Provision for bad debt	24433962	24433962
Supplies & other expens	22856520	19428042	3428478
Pharmacy	13708837	13708837
NH MET	12000000	12000000

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	8676499	Total
Program Services	7312815	ProgramServices
Management And General	1363684	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	239160076	Total
Program Services	210748327	ProgramServices
Management And General	28411749	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	68164	BOY
EOY	84530	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	33208218	BOY
EOY	30851230	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	29282969	BOY
EOY	26154938	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3059986	BOY
EOY	2962092	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3588952	BOY
EOY	12857846	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	336259768	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	177638690	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	148566061	BOY
EOY	158621078	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	109758354	BOY
EOY	114254557	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	19616533	BOY
EOY	25338281	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	14662537	BOY
EOY	16942723	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3009723	BOY
EOY	2985352	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	364821497	BOY
EOY	391052627	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	39170281	BOY
EOY	42620379	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	81832	BOY
EOY	42710	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	125860687	BOY
EOY	123332387	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	8505034	BOY
EOY	12959771	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	173617834	BOY
EOY	178955247	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	188224079	BOY
EOY	208698661	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1800315	BOY
EOY	2143142	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1179269	BOY
EOY	1255577	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	191203663	BOY
EOY	212097380	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	364821497	BOY
EOY	391052627	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	28423434	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	9219763	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-16749480	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$11,700	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$26,672	OtherActivitiesAmount
Total Lobbying Expenditures IIB	38372	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	During 2012, 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, $17,547 AHA, portion of dues allocated to lobbying, $6,958 The Rath Group, fees paid totaled $2,167	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	131278421	BeginningOfYearBalance
Contributions	3700	Contributions
Investment Earnings Or Losses	26708184	InvestmentEarningsOrLosses
Other Expenditures	16019486	OtherExpenditures
End Of Year Balance	141970819	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	99989314	BeginningOfYearBalance
Contributions	27460290	Contributions
Investment Earnings Or Losses	3851272	InvestmentEarningsOrLosses
Other Expenditures	22455	OtherExpenditures
End Of Year Balance	131278421	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	89122889	BeginningOfYearBalance
Contributions	25362	Contributions
Investment Earnings Or Losses	21394694	InvestmentEarningsOrLosses
Other Expenditures	10553631	OtherExpenditures
End Of Year Balance	99989314	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	87480527	BeginningOfYearBalance
Contributions	9452164	Contributions
Investment Earnings Or Losses	9150040	InvestmentEarningsOrLosses
Other Expenditures	16959842	OtherExpenditures
End Of Year Balance	89122889	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	98989793	BeginningOfYearBalance
Contributions	17943608	Contributions
Investment Earnings Or Losses	-29452874	InvestmentEarningsOrLosses
End Of Year Balance	87480527	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.86770	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00500	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.12730	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3292772	OtherCostOrOtherBasis
Book Value	3292772	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	95763141	OtherCostOrOtherBasis
Depreciation	42485141	Depreciation
Book Value	53278000	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18400027	OtherCostOrOtherBasis
Depreciation	3203984	Depreciation
Book Value	15196043	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	124731775	OtherCostOrOtherBasis
Depreciation	98317224	Depreciation
Book Value	26414551	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	94072053	OtherCostOrOtherBasis
Depreciation	33632341	Depreciation
Book Value	60439712	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	158621078	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	Alternative investments	Description
Book Value	25338281	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	25338281	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Est. third-party payor settlement	Description
Amount	$12,959,771	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	12959771	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	235539739	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	9219763	NetUnrealizedGainsInvestments
Other Revenues	-16749480	OtherRevenues
Revenue Not Rptd F990	-7529717	RevenueNotRptdF990
Revenue Subtotal	243069456	RevenueSubtotal
Investment Expenses Not Included	80092	InvestmentExpensesNotIncluded
Other Revenues Not Included	24433962	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	24514054	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	267583510	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	214646022	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	214646022	ExpensesSubtotal
Investment Expenses Not Included2	80092	InvestmentExpensesNotIncluded2
Other Expenses Not Included	24433962	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	24514054	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	239160076	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	To further the Hospital's charitable mission.
Description of Uncertain Tax Positions Under FIN 48:	Part X, Line 2:	The audited financial statements contain the following paragraph in Footnote 1 pertaining to uncertain tax positions: "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 2009."
Part XI, Line 2d - Other Adjustments:		Change in FV of interest rate swap agreement 41,382. Net change in restricted contributions held by WDHHF 384,800. Investment in joint ventures & related organizations -17,175,662.
Part XI, Line 4b - Other Adjustments:		Provision for doubtful accounts 24,433,962.
Part XII, Line 4b - Other Adjustments:		Provision for doubtful accounts 24,433,962.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean -	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	Investments - FMV as of 12/31/12	TypeOfActivitiesConducted
Specific Services Provided	NONE	SpecificServicesProvided
Total Expenditures	25338281	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	25338281	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	25338281	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	1	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	IRS Form 5471 is not required:	Identifier
Return Reference	Part IV, Line 3:	ReturnReference
Explanation	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.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	11809	PersonsServed
Total Community Benefit Expense	8422616	TotalCommunityBenefitExpense
Net Community Benefit Expense	8422616	NetCommunityBenefitExpense
Percent Of Total Expense	0.03920	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10909657	TotalCommunityBenefitExpense
Net Community Benefit Expense	10909657	NetCommunityBenefitExpense
Percent Of Total Expense	0.05080	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	11809	PersonsServed
Total Community Benefit Expense	19332273	TotalCommunityBenefitExpense
Net Community Benefit Expense	19332273	NetCommunityBenefitExpense
Percent Of Total Expense	0.09000	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	12448	PersonsServed
Total Community Benefit Expense	855151	TotalCommunityBenefitExpense
Net Community Benefit Expense	855151	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	367799	TotalCommunityBenefitExpense
Net Community Benefit Expense	367799	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	559676	TotalCommunityBenefitExpense
Net Community Benefit Expense	559676	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	12448	PersonsServed
Total Community Benefit Expense	1782626	TotalCommunityBenefitExpense
Net Community Benefit Expense	1782626	NetCommunityBenefitExpense
Percent Of Total Expense	0.00830	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	24257	PersonsServed
Total Community Benefit Expense	21114899	TotalCommunityBenefitExpense
Net Community Benefit Expense	21114899	NetCommunityBenefitExpense
Percent Of Total Expense	0.09830	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$10,065,482	BadDebtExpenseAmount
Amount Attributable To	1006548	AmountAttributableTo
Amount Reimbursed By Medicare	59621500	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	112091062	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-52469562	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 None	BusinessNameLine1

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Hospital	BusinessNameLine1

Address Address

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)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Wentworth-Douglass Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	200.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Lien On Residence	X	LienOnResidence
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	38	NumberOfOtherFacilities

Other Facilities OtherFacilities (38 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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 Medical 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
19 Webb Place	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

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 $ 24433962.
Part II: See Form 990, Part III, Line 4a.
Part III, Line 4: From Footnote 1 of the 2012 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 withservices 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 $24,433,962 (reported on Form 990, Part IX, Line 24a) down to cost. In 2012, it cost the Hospital $10,065,482 to provide care to patients, for which the Hospital received no payments for services rendered. While the Hospital considers the $10,065,482 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 2012, the Hospital provided care costing $112,091,062 to Medicare patients, for which it was reimbursed $59,621,500, representing a loss on Medicare services of $52,469,562. 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 $52,469,562 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 $12,000,000 (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 3-5 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 has been conducted in 2013. It will be 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 $702,762 in 2012. 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 2012, the Dental Center provided $308,103 of community-based clinic services through 3,201 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 2012 WDPC provided $394,659 of financial aid (stated at cost).Medicaid Costs Exceeding Reimbursement totaled $246,098 for WDPC in 2012.
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.
NH	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Gregory J Walker
President/CEO	411060	0	78800	0	205039	0	126613	0	27827	0	849339	0	0	0
Peter E Walcek
CFO/VP Finance	282967	0	33546	0	10367	0	55975	0	26087	0	408942	0	0	0
Paul R Cass DO
VP Medical Affairs/CMO	321667	0	33585	0	136532	0	56026	0	22059	0	569869	0	82268	0
Ellen L Caille
Executive Vice President	248593	0	31773	0	10020	0	51136	0	33973	0	375495	0	0	0
Daniel N Dunn
COO/SR. VP Operations	240038	0	18834	0	11657	0	14765	0	17182	0	302476	0	0	0
Malcolm D Rosenson MD
Chief Dept Medicine	263749	0	0	0	4637	0	10939	0	25189	0	304514	0	0	0
Sheila M Woolley
CNO/VP Patient Care	226570	0	18003	0	11269	0	33828	0	9588	0	299258	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
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) - 2012 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 2012, 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 2012 plan year, for those individuals identified in Schedule J - Part II, are as follows: Peter E. Walcek = $42,466, Paul R. Cass, DO = $42,517, Ellen L. Caille = $40,126 and Sheila M. Woolley = $21,961. Additionally, during 2012 Paul R. Cass became vested in the supplemental executive retirement plan, resulting in taxable compensation which has been included in his 2012 Form W-2 and reported as taxable compensation in Schedule J, Part II column (B)(iii).
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

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
NHHEFA Authority Revenue BondsWDH Issue Series 2011A
A	020279866	644614var	2011-04-06	87920000	Refinancing bonds & construction of new inpatient wing	0	0	0
NHHEFA Authority Revenue BondsWDH Issue Series 2011B
B	020279866	644614M63	2011-04-06	18390000	Refinancing bonds	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	30000000	87825276	12476983	976169	44372124	2012	0	0	0	1
B		18390000	16673374	184826	1531800	2011	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	0
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	0

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
A	0	0	0	0	0	0	0	0	1
Piper Jaffray - See
B	0	0	0	0	1	1	0	0	1	Part VI for more	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part IV, Line 4c	Term of Hedge	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).
Part V	Written Procedures	No written procedures currently exist. We are in the process of drafting them for approval by the Board of Trustees.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Peter Dirksmeier MD
Board Trustee and employee of SOSMED	183261	In 2012, OATS Realty, LLC paid the Hospital $41,013 as rental fees for professional medical space located at the WD Professional Center in Lee, NH and $9,306 for practice support services. The Hospital collected on behalf of SOSMED accounts receivables for a supported physician in the amount of 132,942.Additionally, Dr. Dirksmeier received a contribution of $13,566 during 2012 to WDH's Call Pay Plan which is available to physicians and independent contractors who provide oncall services to the Hospital.	0
Wentworth Homecare and Hospice LLC
Current officer serves both organizations	850000	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 2012 income recorded for the Hospital's share of revenues equaled $1,030,615 from which it received a cash distribution of $850,000.	1
Granite Shield Insurance Exchange
Current officer serves both organizations	1216397	The Hospital's ownership interest in GSIE remained at approximately 11% in 2012. WDH also made captive insurance payments totaling $1,216,397 to GSIE in 2012.	1
Granite Healthcare Network LLC
Current officer serves both organizations	100140	The Hospital maintained an ownership interest of 16.9% in Granite Healthcare Network in 2012. The 2012 income recorded for the Hospital's share of revenues equaled $36,815 from which it received a cash distribution of $13,503. The Hospital paid a total of $100,140 in 2012 for monthly shared services.	1
Northeast Purchasing Coalition LLC
Current officer serves both organizations	667	The Hospital made an additional capital contribution of $667 to Northeast Purchasing Coalition in 2012 and its ownership interest was unchanged at 2.439%. The Hospital's share of the 2012 ordinary business loss was $19,830.	1
(no name)
			0
Joseph White
Board Trustee and president of medical staff	132638	In 2012, 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 $12,638 during 2012 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

General Explanation GeneralExplanation (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part IV, Line 26 AND Part X, Line 15:	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.
Form 990, Part VI, Section A, line 4	Wentworth-Douglass Hospital's bylaws were revised in 2012 to make Wentworth-Douglass Health System (WDHS) the sole member of WDH and give WDHS broad reserved powers.
Form 990, Part VI, Section A, line 6	Wentworth-Douglass Health System (WDHS), a New Hampshire nonprofit corporation, was formed as the result of the corporate restructuring of Wentworth-Douglass Hospital (WDH) into an integrated health system. WDHS serves as the parent company of WDH and its affiliates Wentworth-Douglass Hospital and Health Foundation and Wentworth-Douglass Physician Corporation, all of which are New Hampshire nonprofit corporations that have been recognized as being 501(c)(3) organizations. These corporations share a common mission with WDH. WDHS is intended to act as a supporting organization of WDH, serving in the role of the "parent company" of the Hospital and the affiliates. WDHS is the sole member of WDH.
Form 990, Part VI, Section A, line 7a	WDHS will appoint the Board members for WDH.
Form 990, Part VI, Section A, line 7b	Wentworth-Douglass Health System has the power to appoint and remove directors of WDH, and all actions pertaining to the property, business, and affairs of WDH, including WDH's annual budget, are subject to the approval of WDHS.
Form 990, Part VI, Section B, line 11	A draft of the Form 990 is initially reviewed in detail by the Finance Committee and key finance employees. Thereafter, the final draft is presented to the full board prior to filing with the IRS. Each member of the Board and Finance Committee is provided with a draft of the Form 990 in advance of each meeting.
Form 990, Part VI, Section B, line 12c	A copy of the Hospital's conflict of interest policy is distributed annually to all officers, trustees, medical staff officers and committee members, and the management team. All are required to report any conflicts and sign, date, and return the policy, whether or not a conflict exists, to confirm compliance. Conflicts are disclosed in accordance with State of New Hampshire RSA 7:19-A in the local newspaper and submitted to the New Hampshire Attorney General.
Form 990, Part VI, Section B, line 15	CEO's Compensation: The CEO's compensation and benefits are reviewed, adjusted, and voted on by all independent members of the board annually. Every other year, a national independent consulting firm is engaged by the board to provide comparative market compensation data for executive and management positions at the hospital. The Board of Trustees uses the data 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 CEO 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. Physician salary ranges are established using the Medical Group Management Association (MGMA) salary survey data.
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 pecuniary benefit transactions that have occurred between WDH 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.
Form 990, Part VI, Line 1a and Line 1b:	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 2012 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 2012, Mr. Webb has been classified as an independent board member.	Governing Body and Management:
Form 990, Part VII, Section A, Column D:	The 2012 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. White,Dirksmeier, and Flavin each received a contribution during 2012 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).	Reportable Compensation from the Organization:
Part IX, Line 24d:	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 2012, Wentworth-Douglass Hospital paid $12,000,000 in MET (see Part IX, line 24d) and received no uncompensated care payments.	Increase in Medicaid Enhancement Tax:
Form 990, Part XI, line 9:	Change in FV of interest rate swap agreement 41,382. Net change in restricted assets held by WDHHF 384,800. Net loss on investments in joint ventures & related organizations -17,175,662.	Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2c:	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 2010 and 2011.	Audit Review Process:
Form 990, Part IX, Column D:	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.	Fundraising expenses:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg
Wentworth-Douglass Physician Corporation
789 Central Avenue	Dover	NH	03820	020497927	Health care	NH	501(c)(3)	170(b)(1) (A)(iii)	N/A	1
Wentworth-Douglass Hospital & Health Foundation
789 Central Avenue	Dover	NH	03820	510491062	Philanthropic fund raising & stewardship	NH	501(c)(3)	509(a)(3) Type II	N/A	1
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)	509(a)(3) Type II	N/A	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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 Activity	Health fitness center	PrimaryActivity
Legal Domicile State	NH	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Share Of EOY Assets	11316068	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership
Controlled Org	1	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Wentworth-Douglass Hospital & Health Foundation
C	193938	Actual per books
Wentworth-Douglass Hospital & Health Foundation
B	705502	Actual per books
Wentworth-Douglass Community Health Corporation
A	8144	Actual per books
Wentworth-Douglass Community Health Corporation
K	148320	Actual per books
Wentworth-Douglass Community Health Corporation
O	199455	Actual per books
Wentworth-Douglass Community Health Corporation
Q	132665	Actual per books
Wentworth-Douglass Community Health Corporation
R	105372	Actual per books
Wentworth-Douglass Physician Corporation
Q	308828	Actual per books
Wentworth-Douglass Physician Corporation
B	17693304	Actual per books
Wentworth-Douglass Physician Corporation
J	1997061	Actual per books
Wentworth-Douglass Physician Corporation
L		Actual per books