STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MASS GENERAL BRIGHAM INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MASS GENERAL BRIGHAM INCORPORATED (EIN 02-0260334)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-03
IRS object ID
201102769349300300
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-10-03T06:45:36-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020260334EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WENTWORTH-DOUGLASS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWENTNameControl
Phone6037425252Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1789 CENTRAL AVENUEAddressLine1
CityDOVERCity
StateNHState
ZIP Code038202526ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePETER E WALCEKName
TitleCFO/VP OF FINANCETitle
Phone6037422804Phone
Date Signed2011-09-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY R HEPBURNName
Phone2078792100Phone
Date Prepared2011-09-26DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGREGORY J WALKERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1789 CENTRAL AVENUEAddressLine1
CityDOVERCity
StateNHState
ZIP Code038202526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts267963444GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WDHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1905YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionHELP INDIVIDUALS AND THEIR FAMILIES ATTAIN THEIR HIGHEST LEVEL OF HEALTHActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1938TotalNbrEmployees
Total Nbr Volunteers146TotalNbrVolunteers
Total Gross UBI49754TotalGrossUBI
Net Unrelated Business Txbl Income-74329NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year339037ContributionsGrantsPriorYear
Contributions Grants Current Year457903ContributionsGrantsCurrentYear
Program Service Revenue Prior Year217797771ProgramServiceRevenuePriorYear
Program Service Revenue CY231897057ProgramServiceRevenueCY
Investment Income Prior Year1405612InvestmentIncomePriorYear
Investment Income Current Year4296908InvestmentIncomeCurrentYear
Other Revenue Prior Year-11189015OtherRevenuePriorYear
Other Revenue Current Year3127926OtherRevenueCurrentYear
Total Revenue Prior Year208353405TotalRevenuePriorYear
Total Revenue Current Year239779794TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year255980GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year102177523SalariesEtcPriorYear
Salaries Etc Current Year109299227SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year94403496OtherExpensePriorYear
Other Expenses Current Year99588377OtherExpensesCurrentYear
Total Expenses Prior Year196836999TotalExpensesPriorYear
Total Expenses Current Year208887604TotalExpensesCurrentYear
Revenues Less Expenses Prior Year11516406RevenuesLessExpensesPriorYear
Revenues Less Expenses CY30892190RevenuesLessExpensesCY
Total Assets BOY297036119TotalAssetsBOY
Total Assets EOY311808165TotalAssetsEOY
Total Liabilities BOY125866477TotalLiabilitiesBOY
Total Liabilities EOY122256744TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY171169642NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY189551421NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWENTWORTH-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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense181806388Expense
Revenue235268931Revenue
DescriptionWENTWORTH-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 $16,915,000 OF COMMUNITY ASSISTANCE PROGRAMS IN 2010 (AS MEASURED BY GROSS CHARGES) IMPACTING 23,831 PATIENTS. IN TOTAL, THE HOSPITAL AND WDPC TOGETHER PROVIDED $17,754,966 OF COMMUNITY ASSISTANCE PROGRAMS IN 2010 (AS MEASURED BY GROSS CHARGES) IMPACTING 35,635 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 FOURTH 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 THEIR HIGH STANDARD, QUALITY GUIDELINES FOR SIX CONSECUTIVE MONTHS. IN JUNE 2010 THE HOSPITAL RECEIVED NOTICE OF THEIR SILVER PLUS AWARD FOR 12 CONSECUTIVE MONTHS OF ACHIEVEMENT.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 WENTWORTH-DOUGLASS HOSPITAL 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 FOURTH 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 MOMS 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 WILL BE OPEN 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 Expense181806388TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached0FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096258NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1938NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PETER E WALCEK CFOVP OF FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6037402804TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1789 CENTRAL AVENUEAddressLine1
CityDOVERCity
StateNHState
ZIP Code038202526ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
THEODORE RISTAINO
CHAIRMAN5.00XX000
NEIL GARVEY
VICE CHAIRMAN3.00XX000
ROGER HAMEL
TREASURER3.00XX000
WILLIAM BOC
SECRETARY3.00XX000
CAROL BAILEY
TRUSTEE2.00X000
GERALD DALEY EDD
TRUSTEE2.00X000
LISA DESTEFANO
TRUSTEE2.00X000
PETER DIRKSMEIER MD
TRUSTEE2.00X000
DAVID FLAVIN MD
TRUSTEE2.00X000
WILLIAM HASSETT MD
TRUSTEE/MED STAFF PRES8.00X031510018030
WES KENNEDY
TRUSTEE2.00X000
DONNA RINALDI
TRUSTEE2.00X000
MICHAEL STEINBERG
TRUSTEE2.00X000
STEVEN C WEBB
TRUSTEE3.00X000
ANN TORR
TRUSTEE - EMERITUS (NON-VOTING)2.00X000
JOSEPH WHITE MD
TRUSTEE - NON-VOTING2.00X6100000
ROBERT DECOLFMAKER
TRUSTEE - EMERITUS (NON-VOTING)0.10X000
LINDA HAGAN
TRUSTEE - NON-VOTING2.00X000
GREGORY J WALKER
PRESIDENT/CEO55.00XX6053040147782
PETER E WALCEK
CFO/VP FINANCE55.00X302237074502
PAUL R CASS
VP MEDICAL AFFAIRS/CMO45.00290495073795X
ELLEN L CAILLE
EXECUTIVE VICE PRESIDENT55.00257999072398X
SHEILA M WOOLLEY
CNO/VP PATIENT CARE45.00244314042386X
DANIEL N DUNN
COO/SR. VP OPERATIONS45.00242460032464X
MALCOLM D ROSENSON MD
CHIEF DEPT MEDICINE45.00218464025434X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2222273TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs315100TotalReportableCompFrmRltdOrgs
Total Other Compensation486791TotalOtherCompensation
Number Individuals GT100 K120NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO INC & AFFILIATES
9801 WASHINGTONIAN BOULEVARDGAITHERSBURGMD208785355FOOD SERVICES/MANAGEMENT1539861
MAYO COLLABORATIVE SERVICES INC
PO BOX 9146MINNEAPOLISMN55480REFERENCE LAB1129925
HEALTH PLAN PREMIUMS
1500 W PACK DR SUITE 330WESTBOROUGHMA01581TPA FEES - HEALTH PLAN844404
SIEMENS MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAYMALVERNPA19355INFORMATION SERVICES839085
KLEEN INC
1 FOUNDRY STREETLEBANONNH03776LAUNDRY/LINEN SERVICES660357
FieldValueIRS element (for citing)
Number Of Contractors GT100 K24NumberOfContractorsGT100K
Related Organizations354119RelatedOrganizations
All Other Contributions103784AllOtherContributions
Total Contributions457903TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE RE900099229462892229462892
CAFETERIA7223201073341104692626415
CHILD CARE SERVICE624410876148876148
REBATES900099360588360588
MEDICAL & SURGICAL SUP9000995812558125

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column65963TotalRevenueColumn
Related Or Exempt Function Income65963RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue231897057TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1301464TotalRevenueColumn
Unrelated Business Revenue19739UnrelatedBusinessRevenue
Exclusion$1,281,725ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2462439Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real433840Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real2028599Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column2028599TotalRevenueColumn
Related Or Exempt Function Income2302562RelatedOrExemptFunctionIncome
Exclusion-$273,963ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities30685070Securities
Other60184Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27676713Securities
Other73097Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3008357Securities
Other-12913Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2995444TotalRevenueColumn
Exclusion$2,995,444ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
OTHER5412007751057715053600
TRANSCRIPTION900099319218319218
MANAGEMENT FEES90009950045004
FieldValueIRS element (for citing)
Total Other Revenue1099327TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column239779794TotalRevenueColumn
Related Or Exempt Function Income235268931RelatedOrExemptFunctionIncome
Unrelated Business Revenue49754UnrelatedBusinessRevenue
Exclusion$4,003,206ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1129824Total
Management And General1129824ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83124077Total
Program Services71776525ProgramServices
Management And General11347552ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2964088Total
Program Services2687617ProgramServices
Management And General276471ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14481508Total
Program Services12285694ProgramServices
Management And General2195814ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7599730Total
Program Services6436971ProgramServices
Management And General1162759ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total596788Total
Management And General596788ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total119603Total
Management And General119603ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total32072Total
Management And General32072ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total66416Total
Management And General66416ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2417284Total
Program Services2314812ProgramServices
Management And General102472ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total618202Total
Program Services618202ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3482322Total
Program Services2959974ProgramServices
Management And General522348ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3650471Total
Program Services2865620ProgramServices
Management And General784851ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total427335Total
Program Services320501ProgramServices
Management And General106834ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3406916Total
Program Services3236570ProgramServices
Management And General170346ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total16802274Total
Program Services14281933ProgramServices
Management And General2520341ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total872075Total
Program Services828471ProgramServices
Management And General43604ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES & OTHER EXPENS29663058252607474402311
PROVISION FOR BAD DEBT1288102212881022
PHARMACY81424208142420
PURCHASED SERVICES77584257370504387921
SERVICE CONTRACTS49464414204475741966

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3705253Total
Program Services3334330ProgramServices
Management And General370923ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total208887604Total
Program Services181806388ProgramServices
Management And General27081216ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36419BOY
EOY52444EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35663824BOY
EOY32204188EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27487526BOY
EOY27170789EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3051612BOY
EOY3116219EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2342187BOY
EOY2420487EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis276758368LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec145170838LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY135591471BOY
EOY131587530EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY61449522BOY
EOY81902090EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY14951672BOY
EOY17549525EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY13976602BOY
EOY13279816EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2485284BOY
EOY2525077EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY297036119BOY
EOY311808165EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY29474358BOY
EOY30194996EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY193148BOY
EOY128258EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY91929006BOY
EOY84841863EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4269965BOY
EOY7091627EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY125866477BOY
EOY122256744EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY168102683BOY
EOY186712004EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1968164BOY
EOY1672323EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1098795BOY
EOY1167094EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY171169642BOY
EOY189551421EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY297036119BOY
EOY311808165EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses30892190ReconcilationRevenueExpenses
Reconcilation Other Changes-12510411ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$11,200MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$32,072OtherActivitiesAmount
Total Lobbying Expenditures IIB43272TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationDURING 2010, 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 SENATORS REGARDING PERTINENT FEDERAL AND STATE ISSUES. NHHA, PORTION OF DUES ALLOCATED TO LOBBYING, $25,194 AHA, PORTION OF DUES ALLOCATED TO LOBBYING, $6,878Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance89122889BeginningOfYearBalance
Contributions25362Contributions
Investment Earnings Or Losses21394694InvestmentEarningsOrLosses
Other Expenditures-10553631OtherExpenditures
End Of Year Balance121096576EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance87480527BeginningOfYearBalance
Contributions9452164Contributions
Investment Earnings Or Losses9150040InvestmentEarningsOrLosses
Other Expenditures-16959842OtherExpenditures
End Of Year Balance89122889EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance98989793BeginningOfYearBalance
Contributions17943608Contributions
Investment Earnings Or Losses-29452874InvestmentEarningsOrLosses
End Of Year Balance87480527EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.92930BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00900PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.06160TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3292772OtherCostOrOtherBasis
Book Value3292772BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis94049595OtherCostOrOtherBasis
Depreciation34806591Depreciation
Book Value59243004BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8471566OtherCostOrOtherBasis
Depreciation1272431Depreciation
Book Value7199135BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis110874154OtherCostOrOtherBasis
Depreciation85947297Depreciation
Book Value24926857BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis60070281OtherCostOrOtherBasis
Depreciation23144519Depreciation
Book Value36925762BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings131587530TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionALTERNATIVE INVESTMENTSDescription
Book Value17549525BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities17549525TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEST THIRD-PARTY PAYOR SETTLEMENTDescription
Amount$7,091,627Amount
FieldValueIRS element (for citing)
Total Of Amounts7091627TotalOfAmounts
Total Revenue239779794TotalRevenue
Total Expenses208887604TotalExpenses
Excess Or Deficit For Year30892190ExcessOrDeficitForYear
Net Unrealized GL On Investments5472259NetUnrealizedGLOnInvestments
Other-$17,982,670OtherAmount
Total Adjustments-12510411TotalAdjustments
Excess Or Deficit Per FS18381779ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt227202967TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments5472259NetUnrealizedGainsInvestments
Other Revenues-17982670OtherRevenues
Revenue Not Rptd F990-12510411RevenueNotRptdF990
Revenue Subtotal239713378RevenueSubtotal
Investment Expenses Not Included66416InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt66416RevenueNotRptdOnFinStmt
Total Revenue Per Form990239779794TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt208821188TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal208821188ExpensesSubtotal
Investment Expenses Not Included266416InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt66416ExpensesNotRptdOnFinStmt
Total Expenses Per Form990208887604TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TO FURTHER THE HOSPITAL'S CHARITABLE MISSION.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT -707,597. NET CHANGE IN RESTRICTED ASSETS HELD BY WDHHF 128,796. NET LOSS ON INVESTMENTS IN JOINT VENTURES & RELATED ORGANIZATIONS -17,403,869.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT -707,597. NET INCREASE IN RESTRICTED CONTRIBUTIONS HELD BY WDHHF 128,796. INVESTMENT IN JOINT VENTURES & RELATED ORGANIZATIONS -17,403,869.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served11757PersonsServed
Total Community Benefit Expense6953658TotalCommunityBenefitExpense
Net Community Benefit Expense6953658NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8943822TotalCommunityBenefitExpense
Net Community Benefit Expense8943822NetCommunityBenefitExpense
Percent Of Total Expense0.04560PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served11757PersonsServed
Total Community Benefit Expense15897480TotalCommunityBenefitExpense
Net Community Benefit Expense15897480NetCommunityBenefitExpense
Percent Of Total Expense0.08110PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served12074PersonsServed
Total Community Benefit Expense898817TotalCommunityBenefitExpense
Net Community Benefit Expense898817NetCommunityBenefitExpense
Percent Of Total Expense0.00460PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense427335TotalCommunityBenefitExpense
Net Community Benefit Expense427335NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense440063TotalCommunityBenefitExpense
Net Community Benefit Expense440063NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served12074PersonsServed
Total Community Benefit Expense1766215TotalCommunityBenefitExpense
Net Community Benefit Expense1766215NetCommunityBenefitExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served23831PersonsServed
Total Community Benefit Expense17663695TotalCommunityBenefitExpense
Net Community Benefit Expense17663695NetCommunityBenefitExpense
Percent Of Total Expense0.09010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$5,750,345BadDebtExpenseAmount
Amount Attributable To575034AmountAttributableTo
Amount Reimbursed By Medicare56284764AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare96168292CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-39883528MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care0ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 NONEBusinessNameLine1
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1WENTWORTH-DOUGLASS HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1789 CENTRAL AVENUEAddressLine1
CityDOVERCity
StateNHState
ZIP Code038202526ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WENTWORTH-DOUGLASS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities32NumberOfOtherFacilities

Other Facilities OtherFacilities (32 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
STRAFFORD HEALTH ALLIANCE
200 ROUTE 108 3SOMERSWORTHNH038781106PHYSICAL THERAPY CLINICS & WOMEN'S IMAGING SERVICES
WDH PROFESSIONAL CENTER AT DOVER
10 MEMBERS WAYDOVERNH03820DIAGNOSTIC SERVICES
LEE OTPTIMAGINGURGENT CARE
65 CALEF HIGHWAYLEENH03861OCCUPATIONAL/PHYSICAL THERAPY, IMAGING & URGENT CARE
WDPC - HOSPITALISTS
789 CENTRAL AVENUE LEVEL 2DOVERNH03820INPATIENT PHYSICIAN SERVICES
WDPC - STRAFFORD MEDICAL ASSOCIATES
10 MEMBERS WAY SUITE 302DOVERNH03820PRIMARY CARE PRACTICE
WDPC - DOVER FAMILY PRACTICE
10 MEMBERS WAYDOVERNH03820PRIMARY CARE PRACTICE
WDPC - ENDOCRINOLOGY & DIABETES
19 WEBB PLACEDOVERNH03820SPECIALTY CARE PRACTICE
WDPC - ADULT & CHILDREN'S MEDICINE
10 MEMBERS WAY SUITE 201DOVERNH03820PRIMARY CARE PRACTICE
WDPC - SEACOAST PULMONARY (INTENSIVISTS)
789 CENTRAL AVENUE LEVEL 3DOVERNH03820SPECIALTY CARE PRACTICE
WENTWORTH HOMECARE & HOSPICE
113 NEW ROCHESTER ROADDOVERNH03820HOSPICE AND HOME CARE SERVICES
LEE URGENT CARE
65 CALEF HIGHWAYLEENH03861URGENT CARE FACILITY & DIAGNOSTIC SERVICES
WDPC - PRIMARY CARE OF DOVER
10 MEMBERS WAY SUITE 300DOVERNH03820PRIMARY CARE PRACTICE
WDPC - DOVER INTERNAL AND GERIATRIC MEDI
10 MEMBERS WAY SUITE 301DOVERNH03820PRIMARY CARE PRACTICE
WDPC - DURHAM HEALTH CENTER
36 MADBURY ROADDURHAMNH03824PRIMARY CARE PRACTICE
WDPC - HILLTOP FAMILY PRACTICE
85 MAIN STREETSOMERSWORTHNH03878PRIMARY CARE PRACTICE
DURHAM REHAB AND SPORTS THERAPY CENTER
16 JENKINS COURTDURHAMNH03824SPECIALTY CARE PRACTICE
WDPC - LEE FAMILY PRACTICE
65 CALEF HIGHWAY SUITE 200LEENH03861PRIMARY CARE PRACTICE
WDPC - SOUTH BERWICK FAMILY PRACTICE
31 COLCORD STREETSOUTH BERWICKME03908PRIMARY CARE PRACTICE
WDPC - BELLAMY HEALTH CENTER
15 OLD ROLLINSFORD ROADDOVERNH03820PRIMARY CARE PRACTICE
WDPC - BARRINGTON HEALTH CENTER
2 CENTURY PINES DRIVEBARRINGTONNH03825PRIMARY CARE PRACTICE
WDPC - MARSHWOOD FAMILY CARE
19 LEVESQUE DRIVE SUITE 2ELIOTME03903PRIMARY CARE PRACTICE
WDPC - WENTWORTH COMMUNITY DENTAL CARE
668 CENTRAL AVENUEDOVERNH03820DENTAL SERVICES
MEDICAL ONCOLOGY
789 CENTRAL AVENUEDOVERNH03820SPECIALTY CARE PRACTICE
WDPC - SEACOAST ARTHRITIS & OSTEOPOROSIS
15 OLD ROLLINSFORD ROAD SUITE 204DOVERNH03820SPECIALTY CARE PRACTICE
WDPC - GREAT BAY FAMILY PRACTICE
60 EXETER ROAD UNIT 3NEWMARKETNH03857PRIMARY CARE PRACTICE
HEALTH PARTNERS OF NEW HAMPSHIRE INC
789 CENTRAL AVENUEDOVERNH038202526PHYSICIAN/HOSPITAL ORGANIZATION
WDPC - DOVER INTERNAL AND GERIATRIC MEDI
31 COLCORD STREETSOUTH BERWICKME03908PRIMARY CARE PRACTICE
WDPC - SUMMIT INFECTIOUS DISEASE
15 OLD ROLLINSFORD ROADDOVERNH03820INPATIENT SPECIALTY CARE
WDPC - PALLIATIVE CARE
789 CENTRAL AVENUE LEVEL 3DOVERNH03820INPATIENT PHYSICIAN SERVICES
WDPC - WENTWORTH INTERNAL MEDICINE
10 MEMBERS WAY SUITE 303DOVERNH03820PRIMARY CARE PRACTICE
CENTER FOR MEDICAL GENETICS
17 OLD ROLLINSFORD ROAD SUITE 6DOVERNH03842SPECIALTY CARE PRACTICE
WENTWORTH-DOUGLASS HOSPITAL EARLY LEARNI
789 CENTRAL AVENUEDOVERNH03820CHILDCARE SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifierReturn 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 $ 12881022.
PART II: SEE FORM 990, PART III, LINE 4A.
PART III, LINE 4: FROM FOOTNOTE 1 OF THE 2010 AUDITED CONSOLIDATED FINANCIAL STATEMENTS:"THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTIBILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS 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 BAD DEBT EXPENSES DOWN TO COST. IN 2010, IT COST THE HOSPITAL $5,750,345 TO PROVIDE CARE TO PATIENTS, FOR WHICH THE HOSPITAL RECEIVED NO PAYMENTS FOR SERVICES RENDERED. WHILE THE HOSPITAL CONSIDERS THE $5,750,345 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 2010, THE HOSPITAL PROVIDED CARE COSTING $96M TO MEDICARE PATIENTS, FOR WHICH IT WAS REIMBURSED $56M, REPRESENTING A LOSS ON MEDICARE SERVICES OF $39M. 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 $39M 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.
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 GETTING THE HEALTH CARE SERVICES THEY 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. 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 6: WDH OWNS 100% OF WENTWORTH-DOUGLASS PHYSICIAN CORPORATION (WDPC), 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 $867,000 IN 2010. THE CORPORATION SUPPORTS NUMEROUS COMMUNITY BASED PROGRAMS, INCLUDING THE COMMUNITY DENTAL CENTER AND PETE'S PLACE, WHICH IS A GRIEF SUPPORT ORGANIZATION FOR CHILDREN WHO HAVE SUFFERED THE LOSS OF A LOVED ONE OR FRIEND. THE PROGRAM ALSO PROVIDES GROUP COUNSELING AT AREA SCHOOLS FOR STUDENTS WHO HAVE LOST A CLASSMATE.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 GUIDELINES IN CONJUCTION WITH A DISCOUNTED FEE SCHEDULE. IN 2010, THE DENTAL CENTER PROVIDED $493,000 OF COMMUNITY-BASED CLINIC SERVICES THROUGH 4,760 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 2010 WDPC PROVIDED $374,000 OF FINANCIAL AID (STATED AT COST).MEDICAID COSTS EXCEEDING REIMBURSEMENT TOTALED $520,639 FOR THE CORPORATION IN 2010.
PART VI, LINE 7: 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. WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATION (THE WORKS) 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 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.
NHREPORTS FILED WITH STATESPART VI, LINE 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WILLIAM HASSETT MD
015339603698401247200960008430033313000
GREGORY J WALKER
406373065462013346901278040199780753086000
PETER E WALCEK
271159021465096130552000193020376739000
PAUL R CASS
266258020737035000544500193450364290000
ELLEN L CAILLE
2248330231460100200463200260780330397000
SHEILA M WOOLLEY
216734017036010544033620087660286700000
DANIEL N DUNN
2133770181490109340146790177850274924000
MALCOLM D ROSENSON MD
2144640004000087320167020243898000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ACERTAIN 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 4BGREGORY J. WALKER (PRESIDENT/CEO) - 2010 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 2010, THE HOSPITAL ALSO EXECUTED 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 2010 PLAN YEAR, FOR THOSE INDIVIDUALS IDENTIFIED IN SCHEDULE J - PART II, ARE AS FOLLOWS: PETER E. WALCEK = $40,500, PAUL R. CASS = $39,750, ELLEN L. CAILLE =$37,500 AND SHEILA M. WOOLLEY = $21,320.
PART I, LINE 7AT-RISK COMPENSATION, WHICH IS SUBJECT TO REVIEW AND PAID ANNUALLY.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NHHEFA CAPITAL ANTICIPATION NOTEWDH ISSUE SERIES 2009GBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN020279866IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2009-04-01DateIssued
Issue Price30000000IssuePrice
Description Of PurposeASSIST IN FUNDING OF SIGNIFICANT CAPITAL PROJECTS AND REFINANCINGDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds30000000TotalProceeds
Issuance Costs From Proceeds37500IssuanceCostsFromProceeds
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PETER DIRKSMEIER MD
EMPLOYEE OF SOSMED317453IN 2010, SOSMED PAID THE HOSPITAL $82,460 AS RENTAL FEES FOR PROFESSIONAL MEDICAL SPACE LOCATED AT THE WD PROFESSIONAL CENTER IN LEE, NH AND $40,509 FOR PRACTICE SUPPORT SERVICES. THE HOSPITAL COLLECTED ON BEHALF OF SOSME ACCOUNTS RECEIVABLES FOR A SUPPORTED PHYSICIAN IN THE AMOUNT OF $183,720. THE HOSPITAL RECEIVED, ON BEHALF OF WENTWORTH-DOUGLASS PHYSICIAN CORPORATION, $10,764 FOR THE RESPECTIVE BILLING SERVICES RENDERED.0
WENTWORTH HOMECARE AND HOSPICE LLC
CURRENT OFFICER SERVES BOTH ORGANIZATIONS880050THE 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 2010 INCOME RECORDED FOR THE HOSPITAL SHARE OF REVENUES EQUALED $880,050 FROM WHICH IT RECEIVED A DISTRIBUTION OF $725,000.1
GRANITE STATE INSURANCE EXCHANGE
CURRENT OFFICER SERVES BOTH ORGANIZATIONS350000IN DECEMBER OF 2010, THE HOSPITAL MADE AN INITIAL CAPITAL CONTRIBUTION TO GRANITE STATE INSURANCE EXCHANGE (GSIE) OF $100,000. A SECOND CAPITAL CONTRIBUTION OF $250,000 WAS MADE TO GSIE IN FEBRUARY OF 2011 BRINGING THE HOSPITAL'S OWNERSHIP INTEREST IN GSIE TO APPROXIMATELY 11%. NO OPERATING ACTIVITY OCCURRED IN GSIE DURING 2010.1
STRAFFORD HEALTH ALLIANCE
CURRENT OFFICER SERVES BOTH ORGANIZATIONS243652THE HOSPITAL HAS A 50% OWNERSHIP INTEREST IN STRAFFORD HEALTH ALLIANCE (SHA). THE HOSPITAL ACCOUNTS FOR INVESTMENT IN JOINT VENTURES UNDER THE EQUITY METHOD. THE HOSPITAL MADE A CAPITAL CONTRIBUTION IN 2010 TO SHA OF $100,000. THE 2010 ALLOCATED LOSS TO THE HOSPITAL EQUALED $42,887. IN ADDITION, SHA PURCHASED VARIOUS MANAGEMENT SERVICES FROM THE HOSPITAL THAT AMOUNTED TO LESS THAN $10,000. SHA LEASED SPACE FOR THE WOMEN'S LIFE IMAGING CENTER PROGRAM AND ADMINISTRATIVE OFFICES THROUGH A RELATED ENTITY OF THE HOSPITAL. THE AMOUNT PAID IN 2010 WAS $80,157. SHA ALSO LEASED ADDITIONAL SPACE FROM A RELATED ENTITY OF THE HOSPITAL FOR A THORACIC SURGEON THAT INCLUDED OTHER OPERATING EXPENSES. THE TOTAL AMOUNT PAID DURING CALENDAR YEAR 2010 EQUALED $96,382.1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11A 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.
A COPY OF THE HOSPITAL 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 12C
CEO'S COMPENSATION: THE CEO'S COMPENSATION AND BENEFITS ARE REVIEWED, ADJUSTED AND VOTED ON BY THE FULL 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' CEO COMPENSATION WITH THAT OF OTHER HOSPITAL EXECUTIVES NATIONALLY AND IN THE NORTHEAST REGION TO DETERMINE THE CEO'S ANNUAL SALARY. 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. 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 DETERMINES 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 ANNUALLY USING THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA) SALARY SURVEY DATA. DUE TO A POTENTIAL CONFLICT OF INTEREST, DR. WILLIAM HASSETT, PRESIDENT OF THE MEDICAL STAFF AND AN EMPLOYEE OF A RELATED ORGANIZATION (WENTWORTH-DOUGLASS PHYSICIAN CORPORATION), IS EXCLUDED FROM SALARY DISCUSSIONS.FORM 990, PART VI, SECTION B, LINE 15
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, SECTION C, LINE 19
REPORTABLE COMPENSATION FROM THE ORGANIZATIONTHE 2010 COMPENSATION REPORTED FOR DR. JOSEPH WHITE WAS PAID BY WENTWORTH-DOUGLASS HOSPITAL FOR HIS SERVICES AS A MEDICAL DIRECTOR. DR. WHITE IS NOT COMPENSATED FOR HIS SERVICES AS A NON-VOTING TRUSTEE OF WDH.FORM 990, PART VII, SECTION A, COLUMN D
REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONSTHE 2010 COMPENSATION REPORTED FOR DR. WILLIAM HASSETT WAS PAID BY WENTWORTH-DOUGLASS PHYSICIAN CORPORATION FOR HIS SERVICES AS A FULL-TIME PHYSICIAN. DR. HASSETT IS NOT COMPENSATED FOR HIS SERVICES AS A TRUSTEE OF WDH.FORM 990, PART VII, SECTION A, COLUMN E
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 5,472,259. CHANGE IN FV OF INTEREST RATE SWAP AGREEMENT -707,597. NET CHANGE IN RESTRICTED ASSETS HELD BY WDHHF 128,796. NET LOSS ON INVESTMENTS IN JOINT VENTURES & RELATED ORGANIZATIONS -17,403,869. TOTAL TO FORM 990, PART XI, LINE 5: -12,510,411.FORM 990, PART XI, LINE 5:
AUDIT REVIEW PROCESSTHE FINANCE COMMITTEE OVERSEES THE AUDIT PROCESS FOR WENTWORTH-DOUGLASS HOPSPITAL 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 2009 AND 2010.FORM 990, PART XI, LINE 2C
GOVERNING BODY AND MANAGEMENTSTEVEN 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 2010 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 2010, MR. WEBB HAS BEEN CLASSIFIED AS AN INDEPENDENT BOARD MEMBER.FORM 990, PART VI, LINE 1A AND LINE 1B
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 BOTH THE EMPLOYER AND EMPLOYEE. 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 IV, LINE 26 AND PART X, LINE 15
FUNDRAISING EXPENSESWENTWORTH-DOUGLASS HOSPITAL AND HEALTH FOUNDATION (A RELATED ORGANIZATION) PERFORMS ALL FUNDRAISING ACTIVITIES ON BEHALF OF WENTWORTH-DOUGLASS HOSPITAL. ALL FUNDRAISING EXPENSES ARE REPORTED ON THE FOUNDATION'S SEPARATE FORM 990.FORM 990, PART IX, COLUMN D

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
WENTWORTH-DOUGLASS PHYSICIAN CORPORATION
789 CENTRAL AVENUEDOVERNH03820020497927HEALTH CARENH501(C)(3)170(B)(1) (A)(III)N/A1
WENTWORTH-DOUGLASS HOSPITAL & HEALTH FOUNDATION
789 CENTRAL AVENUEDOVERNH03820510491062PHILANTHROPIC FUND RAISING & STEWARDSHIPNH501(C)(3)509(A)(3)N/A1

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1789 CENTRAL AVENUEAddressLine1
CityDOVERCity
StateNHState
ZIP Code03820ZIPCode
FieldValueIRS element (for citing)
EIN020399963EIN
Primary ActivityHEALTH FITNESS CENTERPrimaryActivity
Legal Domicile StateNHLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income-76535ShareOfTotalIncome
Share Of EOY Assets11842875ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
WENTWORTH-DOUGLASS HOSPITAL & HEALTH FOUNDATION
C354119ACTUAL PER BOOKS
WENTWORTH-DOUGLASS HOSPITAL & HEALTH FOUNDATION
B68752ACTUAL PER BOOKS
WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATION
A19739ACTUAL PER BOOKS
WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATION
J144000ACTUAL PER BOOKS
WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATION
N129679ACTUAL PER BOOKS
WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATION
P83178ACTUAL PER BOOKS
WENTWORTH-DOUGLASS COMMUNITY HEALTH CORPORATION
Q482201ACTUAL PER BOOKS
WENTWORTH-DOUGLASS PHYSICIAN CORPORATION
P315586ACTUAL PER BOOKS
WENTWORTH-DOUGLASS PHYSICIAN CORPORATION
B16252278ACTUAL PER BOOKS
WENTWORTH-DOUGLASS PHYSICIAN CORPORATION
I2302562ACTUAL PER BOOKS