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Nonprofiteer
← Wentworth-Douglass Health System

Form 990 for tax year 2022

Filed by Wentworth-Douglass Health System.

Totals

Total revenue
-$725,059
Total expenses
$45,786
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
-$725,059
Other revenue
$0
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$0
Management and general expenses
$45,786
Fundraising expenses
$0
Program service expenses (Part III)
not reported

Program services were 0.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $78,232 · excluded $78,232

  • 7a · Gross sales of assets other than inventory

    securities $4,476,329

  • 7b · Less cost or other basis and sales expenses

    securities $5,279,620

  • 7c · Gain or loss

    securities -$803,291

  • 7d · Net gain or loss

    total -$803,291 · excluded -$803,291

Functional expenses

Part IX, the statement of functional expenses.

  • 11a · Fees: management

    total $4,098 · management and general $4,098

  • 11b · Fees: legal

    total $16,700 · management and general $16,700

  • 11c · Fees: accounting

    total $2,000 · management and general $2,000

  • 11f · Fees: investment management

    total $14,476 · management and general $14,476

  • 23 · Insurance

    total $8,437 · management and general $8,437

  • 24a · Other expenses: State of New Hampshire

    total $75 · management and general $75

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $46,438 · end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    end of year $0

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,169 · end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $5,168,773 · end of year $0

  • 12 · Investments: other securities

    end of year $0

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    end of year $0

  • 25 · Other liabilities

    beginning of year $11,467 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $5,204,913 · end of year $0

Mission and programs · 2022

Mission

Support and further the charitable activities of Wentworth-Douglass Hospital, Wentworth-Douglass Physician Corporation and Wentworth-Douglass Hospital & Health Foundation by being operated in connection with said organizations.

  • Effective January 1, 2017, Massachusetts General Hospital (MGH) became the sole corporate member and parent organization of Wentworth-Douglass Hospital (the Hospital). Contemporaneously, the Hospital became the sole corporate member and parent organization of Wentworth-Douglass Hospital and Health Foundation (the Foundation), Wentworth-Douglass Physician Corporation (WDPC), and the Wentworth-Douglass Community Health Corporation (the Works).In conjunction with this transaction, the Wentworth-Douglass Health System (the Health System) amended its bylaws with the mission to support and further the charitable activities of Wentworth-Douglass Hospital, Wentworth-Douglass Physician Corporation and Wentworth-Douglass Hospital & Health Foundation by being operated in connection with said organizations, with the specific purpose of monitoring the integration of the Hospital.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael Bolduc Esq

    Chairman

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Carol Bailey

    Vice Chairman

    Total calculated
    $0
    Hours/week
    1 + 4 related
  • Michael Steinberg

    Treasurer

    Total calculated
    $0
    Hours/week
    1
  • John Salmon

    Secretary

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Gerald Daley EDD

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Peter Dirksmeier MD

    Trustee

    Total calculated
    $752,907
    From this org
    $0
    From related orgs
    $712,766
    Other
    $40,141
    Hours/week
    1 + 53.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $652,366 related
    Bonus
    $0 + $22,770 related
    Other
    $0 + $37,630 related
    Deferred
    $0 + $13,725 related
    Nontaxable benefits
    $0 + $26,416 related
    Filer's total
    $0 + $752,907 related
  • David Flavin MD

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Neil Garvey

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Roger Hamel

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 5 related
  • Anne Kalter MD

    Trustee

    Total calculated
    $114,657
    From this org
    $0
    From related orgs
    $101,758
    Other
    $12,899
    Hours/week
    1 + 44 related
  • John Novello MD

    Trustee

    Total calculated
    $236,844
    From this org
    $0
    From related orgs
    $225,093
    Other
    $11,751
    Hours/week
    1 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $154,173 related
    Bonus
    $0 + $46,985 related
    Other
    $0 + $23,935 related
    Deferred
    $0 + $10,302 related
    Nontaxable benefits
    $0 + $1,449 related
    Filer's total
    $0 + $236,844 related
  • Donna Rinaldi

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Theodore Ristaino

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 2.5 related
  • Ingo Roemer

    Trustee

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Steven Webb

    Trustee

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

Provenance

Return type
form_990
Tax year
2022
Filed
14 August 2023
IRS schema version
2022v5.0
Source object
202332279349300423

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