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.
-
Wentworth-Douglass Physician Corporation
501(c)(3) · Healthcare · NH
Directly controlled by WDH
-
Wentworth-Douglass Hospital & Health Foundation
501(c)(3) · Fundraising · NH
Directly controlled by WDH
-
501(c)(3) · Healthcare · NH
Directly controlled by MGH
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.
-
$46,437
Liquidation · Cash · Dec 31, 2022 · 501(c)(3)
-
$25,499
Liquidation · Investments · Dec 31, 2022 · 501(c)(3)
-
-$56,083
Liquidation · Due to Affiliate · Dec 31, 2022 · 501(c)(3)
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 14 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332279349300423
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