MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MASS GENERAL BRIGHAM INCORPORATED (EIN 02-0260334)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-10-24
IRS object ID: 201242989349300124
Schema version: 2011v1.2
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	2012-10-24T12:15:30-05:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-10-15	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	2012-10-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	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	362484137	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	12	NbrIndependentVotingMembers
Total Nbr Employees	1967	TotalNbrEmployees
Total Nbr Volunteers	114	TotalNbrVolunteers
Total Gross UBI	47529	TotalGrossUBI
Net Unrelated Business Txbl Income	-79653	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	457903	ContributionsGrantsPriorYear
Contributions Grants Current Year	457217	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	231897057	ProgramServiceRevenuePriorYear
Program Service Revenue CY	255309413	ProgramServiceRevenueCY
Investment Income Prior Year	4296908	InvestmentIncomePriorYear
Investment Income Current Year	1973618	InvestmentIncomeCurrentYear
Other Revenue Prior Year	3127926	OtherRevenuePriorYear
Other Revenue Current Year	1831177	OtherRevenueCurrentYear
Total Revenue Prior Year	239779794	TotalRevenuePriorYear
Total Revenue Current Year	259571425	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	109299227	SalariesEtcPriorYear
Salaries Etc Current Year	116699596	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	99588377	OtherExpensePriorYear
Other Expenses Current Year	117837593	OtherExpensesCurrentYear
Total Expenses Prior Year	208887604	TotalExpensesPriorYear
Total Expenses Current Year	234537189	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	30892190	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25034236	RevenuesLessExpensesCY
Total Assets BOY	311808165	TotalAssetsBOY
Total Assets EOY	364821497	TotalAssetsEOY
Total Liabilities BOY	122256744	TotalLiabilitiesBOY
Total Liabilities EOY	173617834	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	189551421	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	191203663	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	205092288	Expense
Revenue	258065063	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 300% 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 $19,895,836 (as measured by gross charges) of community assistance programs in 2011, impacting 13,272 patients. In total, the Hospital and WDPC together provided $20,485,010 (as measured by gross charges) of community assistance programs in 2011, impacting 21,624 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 300% 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	205092288	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	255	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	1967	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	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	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 (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Neil Garvey
Chairman	5.00	X	X	0	0	0
Roger Hamel
Vice Chairman	3.00	X	X	0	0	0
Michael Steinberg
Treasurer	3.00	X	X	0	0	0
Carol Bailey
Secretary	3.00	X	X	0	0	0
William Boc
Trustee	2.00	X		0	0	0
Gerald Daley EdD
Trustee	2.00	X		0	0	0
Lisa Destefano
Trustee	2.00	X		0	0	0
Peter Dirksmeier MD
Trustee	2.00	X		0	0	0
David Flavin MD
Trustee	2.00	X		0	0	0
Wes Kennedy
Trustee	2.00	X		0	0	0
Donna Rinaldi
Trustee	2.00	X		0	0	0
Theodore Ristaino
Trustee	2.00	X		0	0	0
Steven C Webb
Trustee	2.00	X		0	0	0
Joseph White MD
Trustee	8.00	X		110000	0	0
Ann Torr
Trustee - Emeritus (non-voting)	2.00	X		0	0	0
Robert Decolfmaker
Trustee - Emeritus (non-voting)	0.10	X		0	0	0
Linda Hagan
Trustee - non-voting	1.00	X		0	0	0
Gregory J Walker
President/CEO	55.00	X	X	645708	0	148296
Peter E Walcek
CFO/VP Finance	55.00		X	326016	0	75307
Paul R Cass DO
VP Medical Affairs/CMO	50.00			324310	0	76592	X
Ellen L Caille
Executive Vice President	50.00			290088	0	77688	X
Daniel N Dunn
COO/SR. VP Operations	50.00			258660	0	34904	X
Sheila M Woolley
CNO/VP Patient Care	50.00			247250	0	44188	X
Malcolm D Rosenson MD
Chief Dept Medicine	50.00			223743	0	28718	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2425775	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	485693	TotalOtherCompensation
Number Individuals GT100 K	129	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	3031741
Siemens Healthcare Diagnostics Inc
511 Benedict Avenue	Tarrytown	NY	10591	Lab system, service contracts	1715865
Sodexo Inc & Affiliates
9801 Washington Boulevard	Gaithersburg	MD	20878	Food services/management	1699440
Mayo Collaborative Services Inc
PO Box 9146	Minneapolis	MN	55480	Reference lab services	1064879
Health Plans Inc
1500 West Park Drive Suite 330	Westbrough	MA	01581	TPA fees - health plan	988634

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	29	NumberOfContractorsGT100K
Related Organizations	251570	RelatedOrganizations
All Other Contributions	205647	AllOtherContributions
Total Contributions	457217	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient service revenu	900099	246390017	246390017
Disproportionate share	900099	5260300	5260300
Cafeteria	722320	1163133	1133439	29694
Child care service	624410	889521	889521

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1606442	TotalRevenueColumn
Related Or Exempt Function Income	1606442	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	255309413	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1631861	TotalRevenueColumn
Unrelated Business Revenue	14235	UnrelatedBusinessRevenue
Exclusion	$1,617,626	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2461744	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	504271	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1957473	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1957473	TotalRevenueColumn
Related Or Exempt Function Income	2296957	RelatedOrExemptFunctionIncome
Exclusion	-$339,484	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	102750198	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	102374874	Securities
Other	33567	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	375324	Securities
Other	-33567	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	341757	TotalRevenueColumn
Exclusion	$341,757	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
Transcription	900099	305923	305923
Loss on early extingui	900099	-618283		-$618,283

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	186064	TotalRevenueColumn
Related Or Exempt Function Income	182464	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3600	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	-126296	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	259571425	TotalRevenueColumn
Related Or Exempt Function Income	258065063	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	47529	UnrelatedBusinessRevenue
Exclusion	$1,001,616	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	1195327	Total
Management And General	1195327	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	87528642	Total
Program Services	74399346	ProgramServices
Management And General	13129296	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3228452	Total
Program Services	2744184	ProgramServices
Management And General	484268	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16786386	Total
Program Services	14268428	ProgramServices
Management And General	2517958	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7960789	Total
Program Services	6766671	ProgramServices
Management And General	1194118	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	942933	Total
Management And General	942933	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	82750	Total
Management And General	82750	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	31275	Total
Management And General	31275	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	125175	Total
Management And General	125175	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1439300	Total
Program Services	1382007	ProgramServices
Management And General	57293	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	677707	Total
Program Services	677707	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3691631	Total
Program Services	3137886	ProgramServices
Management And General	553745	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3598659	Total
Program Services	2824947	ProgramServices
Management And General	773712	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	146829	Total
Program Services	110122	ProgramServices
Management And General	36707	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5451973	Total
Program Services	5179374	ProgramServices
Management And General	272599	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	16352942	Total
Program Services	13900001	ProgramServices
Management And General	2452941	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1603367	Total
Program Services	1523199	ProgramServices
Management And General	80168	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies & other expens	24834213	21109081	3725132
Provision for bad debt	16001909	16001909
Pharmacy	12942299	12942299
NH MET	11712300	11712300

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	18202331	Total
Program Services	16412827	ProgramServices
Management And General	1789504	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	234537189	Total
Program Services	205092288	ProgramServices
Management And General	29444901	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	52444	BOY
EOY	68164	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	32204188	BOY
EOY	33208218	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	27170789	BOY
EOY	29282969	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3116219	BOY
EOY	3059986	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2420487	BOY
EOY	3588952	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	309249560	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	160683499	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	131587530	BOY
EOY	148566061	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	81902090	BOY
EOY	109758354	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	17549525	BOY
EOY	19616533	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	13279816	BOY
EOY	14662537	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2525077	BOY
EOY	3009723	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	311808165	BOY
EOY	364821497	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	30194996	BOY
EOY	39170281	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	128258	BOY
EOY	81832	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	84841863	BOY
EOY	125860687	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	7091627	BOY
EOY	8505034	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	122256744	BOY
EOY	173617834	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	186712004	BOY
EOY	188224079	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1672323	BOY
EOY	1800315	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1167094	BOY
EOY	1179269	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	189551421	BOY
EOY	191203663	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	311808165	BOY
EOY	364821497	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	25034236	ReconcilationRevenueExpenses
Reconcilation Other Changes	-23381994	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
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$11,660	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$2,915	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$31,275	OtherActivitiesAmount
Total Lobbying Expenditures IIB	45850	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 2011, 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, $24,277 AHA, portion of dues allocated to lobbying, $6,998	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.73700	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.00670	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.25630	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	94049595	OtherCostOrOtherBasis
Depreciation	38660820	Depreciation
Book Value	55388775	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	18169086	OtherCostOrOtherBasis
Depreciation	2083993	Depreciation
Book Value	16085093	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	119423026	OtherCostOrOtherBasis
Depreciation	91086017	Depreciation
Book Value	28337009	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	74315081	OtherCostOrOtherBasis
Depreciation	28852669	Depreciation
Book Value	45462412	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	148566061	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	Alternative investments	Description
Book Value	19616533	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	19616533	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Est. third-party payor settlement	Description
Amount	$8,505,034	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	8505034	TotalOfAmounts
Total Revenue	259571425	TotalRevenue
Total Expenses	234537189	TotalExpenses
Excess Or Deficit For Year	25034236	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-3151041	NetUnrealizedGLOnInvestments
Other	-$20,230,953	OtherAmount
Total Adjustments	-23381994	TotalAdjustments
Excess Or Deficit Per FS	1652242	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	236064256	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-3151041	NetUnrealizedGainsInvestments
Other Revenues	-20230953	OtherRevenues
Revenue Not Rptd F990	-23381994	RevenueNotRptdF990
Revenue Subtotal	259446250	RevenueSubtotal
Investment Expenses Not Included	125175	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	125175	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	259571425	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	234412014	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	234412014	ExpensesSubtotal
Investment Expenses Not Included2	125175	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	125175	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	234537189	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 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:	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 theses 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 2008."
Part XI, Line 8 - Other Adjustments:		Change in FV of interest rate swap agreement -1,805,549. Net change in restricted assets held by WDHHF -148,612. Net loss on investments in joint ventures & related organizations -18,276,792. Total to Schedule D, Part XI, Line 8: -20,230,953.
Part XII, Line 2d - Other Adjustments:		Change in FV of interest rate swap agreement -1,805,549. Net change in restricted contributions held by WDHHF -148,612. Investment in joint ventures & related organizations -18,276,792.

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 12/31/11	TypeOfActivitiesConducted
Specific Services Provided	NONE	SpecificServicesProvided
Total Expenditures	20321231	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	20321231	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	20321231	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

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
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	13272	PersonsServed
Total Community Benefit Expense	8818294	TotalCommunityBenefitExpense
Net Community Benefit Expense	8818294	NetCommunityBenefitExpense
Percent Of Total Expense	0.04040	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7829251	TotalCommunityBenefitExpense
Net Community Benefit Expense	7829251	NetCommunityBenefitExpense
Percent Of Total Expense	0.03580	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	13272	PersonsServed
Total Community Benefit Expense	16647545	TotalCommunityBenefitExpense
Net Community Benefit Expense	16647545	NetCommunityBenefitExpense
Percent Of Total Expense	0.07620	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	11323	PersonsServed
Total Community Benefit Expense	922851	TotalCommunityBenefitExpense
Net Community Benefit Expense	922851	NetCommunityBenefitExpense
Percent Of Total Expense	0.00420	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	367073	TotalCommunityBenefitExpense
Net Community Benefit Expense	367073	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	937107	TotalCommunityBenefitExpense
Net Community Benefit Expense	937107	NetCommunityBenefitExpense
Percent Of Total Expense	0.00430	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	11323	PersonsServed
Total Community Benefit Expense	2227031	TotalCommunityBenefitExpense
Net Community Benefit Expense	2227031	NetCommunityBenefitExpense
Percent Of Total Expense	0.01020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	24595	PersonsServed
Total Community Benefit Expense	18874576	TotalCommunityBenefitExpense
Net Community Benefit Expense	18874576	NetCommunityBenefitExpense
Percent Of Total Expense	0.08640	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$7,092,366	BadDebtExpenseAmount
Amount Attributable To	709236	AmountAttributableTo
Amount Reimbursed By Medicare	59861701	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	103991672	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-44129971	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	300.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	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	35	NumberOfOtherFacilities

Other Facilities OtherFacilities (35 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
WDPC - Hospitalists
789 Central Avenue Level 2	Dover	NH	03820	Inpatient Physician Services
Lee OTPTImaging
65 Calef Highway	Lee	NH	03861	Occupational/Physical Therapy & Imaging
WDPC - Strafford Medical Associates
10 Members Way Suite 302	Dover	NH	03820	Primary Care Practice
Seacoast General Surgery
750 Central Avenue Suite N	Dover	NH	03820	Specialty Care Practice
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 - Seacoast Pulmonary (Intensivists)
789 Central Avenue Level 3	Dover	NH	03820	Specialty Care Practice
WDPC - Endocrinology & Diabetes
19 Webb Place	Dover	NH	03820	Specialty Care Practice
Lee Urgent Care
65 Calef Highway	Lee	NH	03861	Urgent Care Facility & Diagnostic Services
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 - 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
WDPC - South Berwick Family Practice
31 Colcord Street	South Berwick	ME	03908	Primary Care Practice
Medical Oncology
789 Central Avenue	Dover	NH	03820	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
Manchester Urology Associates Dover
10 Members Way Suite 402	Dover	NH	03820	Specialty Care Practice
WDPC - Bellamy Health Center
15 Old Rollinsford Road	Dover	NH	03820	Primary Care Practice
Durham Rehab and Sports Therapy Center
16 Jenkins Court	Durham	NH	03824	Specialty 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
Plastic Surgery Specialists
10 Members Way Suite 303	Dover	NH	03820	Specialty Care Practice
Wentworth-Douglass Hospital Early Learni
789 Central Avenue	Dover	NH	03820	Childcare Services
WDPC - Great Bay Family Practice
60 Exeter Road Unit 3	Newmarket	NH	03857	Primary Care Practice
WHP Cardiovascular Group
19 Old Rollinsford Road	Dover	NH	03820	Specialty Care Practice
Health Partners of New Hampshire Inc
789 Central Avenue	Dover	NH	038202526	Physician/Hospital Organization
WDPC - Summit Infectious Disease
15 Old Rollinsford Road	Dover	NH	03820	Inpatient Physician Services
Allergy Associates of NH
10 Members Way Suite 200	Dover	NH	03820	Specialty Care Practice
Center for Medical Genetics
17 Old Rollinsford Road Suite 6	Dover	NH	03842	Specialty Care Practice
WDPC - Palliative Care
789 Central Avenue Level 3	Dover	NH	03820	Inpatient Physician Services
Strafford Health Alliance
200 Route 108 3	Somersworth	NH	038781106	Physical Therapy Clinics & Women's Imaging Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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 $ 16001909.
In accordance with the instructions for Schedule H, which specify that the financial assistance eligibility criteria that applied to the largest number of the Hospital's patients based on patient contacts or encounters during 2011 should be used to answer questions regarding the cost of care and financial assistance policies, a family income limit of 300% has been reported. It should be noted, however, that, as of October 1, 2011, the family income limit was reduced to 200% of the Federal Poverty Guidelines threshold.	Part I, Lines 3a and 3b and Part V, lines 9 and 10:
Part II: See Form 990, Part III, Line 4a.
Part III, Line 4: From Footnote 1 of the 2011 audited consolidated financial statements:"The allowances for doubtful accounts and charity care are provided based on an analysis by management of the collectibility of outstanding balances. Management considers the age of outstanding balances, past collection efforts and the current economic environment in determining the allowance for doubtful accounts. Accounts deemed uncollectible are charged off against the established allowance." The Hospital uses the ratio of cost to charge methodology to reduce total bad debt expenses of $16,001,909 (reported on Form 990, Part IX, Line 24b) down to cost. In 2011, it cost the Hospital $7,092,366 to provide care to patients, for which the Hospital received no payments for services rendered. While the Hospital considers the $7,092,366 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 2011, the Hospital provided care costing $103,991672 to Medicare patients, for which it was reimbursed $59,861,701, representing a loss on Medicare services of $44,129,971. 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 $44,129,971 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 $11,712,300 (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 Needs Assessments every 3-5 years. The most recent 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.
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 $870,000 in 2011. 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 300% of the federal poverty level, based on the number of members in the household. Minimum payments are charged on a discounted fee schedule based on household income. In 2011, the Dental Center provided $390,000 of community-based clinic services through 4,416 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 300% of the federal poverty level. In 2011 WDPC provided $482,000 of financial aid (stated at cost).Medicaid Costs Exceeding Reimbursement totaled $459,184 for WDPC in 2011.
Part VI, Line 6: The affiliates of Wentworth-Douglass Hospital include Wentworth-Douglass Physician Corporation, Wentworth-Douglass Community Health Corporation and the Wentworth-Douglass Hospital and Health Foundation. 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 initiaitives.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.
NH	Part VI, Line 7	Reports Filed With States

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)

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
416504	0	88826	0	140378	0	127804	0	20492	0	794004	0	0	0
Peter E Walcek
279133	0	37192	0	9691	0	56035	0	19272	0	401323	0	0	0
Paul R Cass DO
283574	0	37236	0	3500	0	57218	0	19374	0	400902	0	0	0
Ellen L Caille
244925	0	35143	0	10020	0	51616	0	26072	0	367776	0	0	0
Daniel N Dunn
227334	0	20193	0	11133	0	17150	0	17754	0	293564	0	0	0
Sheila M Woolley
217253	0	19233	0	10764	0	34752	0	9436	0	291438	0	0	0
Malcolm D Rosenson MD
219743	0	0	0	4000	0	11296	0	17422	0	252461	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) - 2011 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 2011, 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 2011 plan year, for those individuals identified in Schedule J - Part II, are as follows: Peter E. Walcek = $42,466, Paul R. Cass, DO = $42,518, Ellen L. Caille = $40,126 and Sheila M. Woolley = $21,960.
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)

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
020279866	644614var	2011-04-06	87920000	Refinancing bonds & construction of new inpatient wing	0	0	0
NHHEFA Authority Revenue BondsWDH Issue Series 2011B
020279866	644614M63	2011-04-06	18820000	Refinancing bonds	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

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
30000000	87825276	12741700	1126031	43957545	2012	0	0	0	1
	18390000	16675055	194599	1520345	2011	1	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	0	0	0.00000	0.00000	1
0	0	0	0	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate	Business Name Line2NameOfHedgeProvider/BusinessNameLine2	Superintegrated HedgeSuperintegratedHedge	Hedge TerminatedHedgeTerminated
(no name)
0	0	0	0	0	0
Piper Jaffray - See
0	1	1	0	0	0	Part VI for more	0	0

Form990 Schedule K Part VI Form990ScheduleKPartVI

Field	Value	IRS element (for citing)
Identifier	Part IV, Line 2c	Identifier
Return Reference	Term of Hedge	ReturnReference
Explanation	The $18,820,000 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).	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Peter Dirksmeier MD
Employee of SOSMED	205313	In 2011, OATS Realty, LLC paid the Hospital $41,516 as rental fees for professional medical space located at the WD Professional Center in Lee, NH and $10,715 for practice support services. The Hospital collected on behalf of SOSMED accounts receivables for a supported physician in the amount of $153,082.	0
Wentworth Homecare and Hospice LLC
Current officer serves both organizations	825000	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 2011 income recorded for the Hospital's share of revenues equaled $857,712 from which it received a cash distribution of $825,000.	1
Granite Shield Insurance Exchange
Current officer serves both organizations	1422063	The Hospital made a capital contribution of $250,000 to Granite Shield Insurance Exchange (GSIE) in February of 2011 bringing the Hospital's ownership interest in GSIE to approximately 11%. WDH also made captive insurance payments totaling $1,172,063 to GSIE in 2011.	1
Granite Healthcare Network
Current officer serves both organizations	48315	The Hospital made a capital contribution of $92,854 to Granite Healthcare Network for an ownership interest of 16.9%. The 2011 income recorded for the Hospital's share of revenues equaled $7,839. There was no cash distribution. The Hospital paid a total of $48,315 in 2011 for monthly shared services.	1
Northeast Purchasing Coalition LLC
Current officer serves both organizations	55000	The Hospital made a capital contribution of $55,000 to Northeast Purchasing Coalition for an ownership interest of 2.439%. The Hospital's share of the 2011 ordinary business loss was $36,229.	1
GSI Services
Current officer serves both organizations	1250	Pending confirmation that current officer serves both organizations.	1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 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 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 2011 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 2011, Mr. Webb has been classified as an independent board member.	Governing Body and Management:
Form 990, Part VII, Section A, Column D:	The 2011 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.	Reportable Compensation from the Organization:
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:
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, in 2011, the State reduced and/or eliminated payments to the hospitals for uncompensated care. Although Wentworth-Douglass Hospital paid $11,712,300 in MET in 2011 (see Part IX, line 24d), uncompensated payments received from the State were only $5,260,300. Thus, the 2011 net impact of increased MET expense and the reduced uncompensated care revenue was $6,452,000.	Increase in Medicaid Enhancement Tax:
Form 990, Part XI, line 5:	Net unrealized losses on investments: -3,151,041. Change in FV of interest rate swap agreement -1,805,549. Net change in restricted assets held by WDHHF -148,612. Net loss on investments in joint ventures & related organizations -18,276,792. Total to Form 990, Part XI, Line 5: -23,381,994.	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:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 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)	N/A	1

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 Total Income	-202008	ShareOfTotalIncome
Share Of EOY Assets	11600932	ShareOfEOYAssets
Percentage Ownership	1.00000	PercentageOwnership

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
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	251570	Actual per books
Wentworth-Douglass Hospital & Health Foundation
B	613697	Actual per books
Wentworth-Douglass Community Health Corporation
A	14235	Actual per books
Wentworth-Douglass Community Health Corporation
J	144000	Actual per books
Wentworth-Douglass Community Health Corporation
N	147664	Actual per books
Wentworth-Douglass Community Health Corporation
P	105408	Actual per books
Wentworth-Douglass Community Health Corporation
Q	471695	Actual per books
Wentworth-Douglass Physician Corporation
P	284127	Actual per books
Wentworth-Douglass Physician Corporation
B	17819989	Actual per books
Wentworth-Douglass Physician Corporation
I	2296957	Actual per books
Wentworth-Douglass Physician Corporation
K	718523	Actual per books