Wentworth-Douglass Health System

“The organization filed articles of merger effective 12/31/22 and is dissolving as a result of the merger.”

“A draft of the Form 990 is initially reviewed by the key finance employees. The 2022 final draft was presented to the Vice President of Finance and Chief Operating Officer/President for review prior to the IRS filing.”

“A copy of the conflict of interest policy is distributed annually to all officers and trustees. 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.”

“All compensation reported on this Form 990 is paid by a related organization.”

“Wentworth-Douglass Health System files financial statements annually with the New Hampshire Attorney General's Charitable Trust Unit and informs the Director of Charitable Trusts of any pecuniary benefit transactions that have occurred between the Health System 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 the form 990 are on file with the Charitable Trust Unit. The organization also makes these documents available upon request.”

“Reportable compensation from related organizations: The 2022 Compensation reported for Dr. Anne Kalter, Dr. John Novello, and Dr. Peter Dirksmeier was paid by related organizations for their services as members of the medical staff. None of the individuals listed are compensated for their services as a trustee of Wentworth-Douglas Health System. These amounts have been reported in Part VII Columns (E) and (F).”

“Effective 12/31/22, Wentworth-Douglass Health System merged into Wentworth-Douglass Hospital.”

“Net Asset Transfer to Wentworth-Douglass Hospital Upon Dissolution -4,484,075.”