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WEEKS MEDICAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
WEEKS MEDICAL CENTER (EIN 02-0222242)
Tax period
2022-10-01 to 2023-09-30
Filed
2024-08-15
IRS object ID
202402289349303900
Schema version
2022v5.0
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)
Return2024-08-15T15:49:44-05:00ReturnTs
Tax Period End2023-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390758449PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WIPFLI LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11502 LONDON ROAD SUITE 200AddressLine1Txt
CityDULUTHCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55812ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEEKS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWEEKBusinessNameControlTxt
Phone6037884911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1173 MIDDLE STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03584ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW STREETERPersonNm
Person TitleSYSTEM CFOPersonTitleTxt
Phone6037884911PhoneNum
Signature2024-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL J PETERSON CPAPreparerPersonNm
PTINP01833529PTIN
Phone2187224705PhoneNum
Preparation2024-08-15PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL D LEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1173 MIDDLE STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03584ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$86,960,017GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WEEKSMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1948FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionTO PROVIDE HIGH QUALITY AND EFFICIENT HEALTH CARE SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee433TotalEmployeeCnt
Total Volunteers36TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,695,217PYContributionsGrantsAmt
CY Contributions Grants$785,141CYContributionsGrantsAmt
PY Program Service Revenue$71,393,106PYProgramServiceRevenueAmt
CY Program Service Revenue$84,639,662CYProgramServiceRevenueAmt
PY Investment Income$575,248PYInvestmentIncomeAmt
CY Investment Income$248,804CYInvestmentIncomeAmt
PY Other Revenue$509,792PYOtherRevenueAmt
CY Other Revenue$1,237,822CYOtherRevenueAmt
PY Total Revenue$76,173,363PYTotalRevenueAmt
CY Total Revenue$86,911,429CYTotalRevenueAmt
PY Grants And Similar Paid$219,365PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$318,227CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,147,695PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$34,175,015CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$32,895,908PYOtherExpensesAmt
CY Other Expenses$53,611,021CYOtherExpensesAmt
PY Total Expenses$73,262,968PYTotalExpensesAmt
CY Total Expenses$88,104,263CYTotalExpensesAmt
PY Revenues Less Expenses$2,910,395PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,192,834CYRevenuesLessExpensesAmt
Total Assets BOY$76,551,082TotalAssetsBOYAmt
Total Assets EOY$71,649,472TotalAssetsEOYAmt
Total Liabilities BOY$26,275,393TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,721,834TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$50,275,689NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$48,927,638NetAssetsOrFundBalancesEOYAmt
MissionWEEKS MEDICAL CENTER'S COMPASSIONATE STAFF IS COMMITTED TO PROVIDING HIGH QUALITY AND EFFICIENT HEALTH CARE SERVICES TO ENSURE THE WELL-BEING OF OUR PATIENTS, FAMILIES AND COMMUNITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$68,462,481ExpenseAmt
Grant$318,227GrantAmt
Revenue$84,639,662RevenueAmt
DescHEALTH CARE SERVICES TO INDIVIDUALS IN THE SURROUNDING REGION ON AN INPATIENT & OUTPATIENT BASIS, WHICH INCLUDES HOSPITAL SERVICES AS WELL AS PHYSICIAN OFFICE SERVICES.Desc
Total Program Service Expenses$68,462,481TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document55IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee433EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MATTHEW STREETERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6033265610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 CLOVER LANEAddressLine1Txt
CityWHITEFIELDCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03598ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK MORGAN MD
CMO40.00Yes (X)$595,264$0$14,514
AMBER SCHMIDT
MEDICAL STAFF PRESIDENT40.00Yes (X)$275,066$0$40,448Yes (X)
WILLIAM EVERLETH
DIRECTOR1.00Yes (X)$0$125,375$8,25739.00
KEITH YOUNG
CHAIR1.00Yes (X)$0$0$0Yes (X)1.00
DENNIS COUTURE
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
RUBY BERRYMAN
TREASURER1.00Yes (X)$0$0$0Yes (X)
CHARLIE COTTON
SECRETARY1.00Yes (X)$0$0$0Yes (X)
DENISE BRISSON
DIRECTOR1.00Yes (X)$0$0$0
SCOTT BURNS
DIRECTOR1.00Yes (X)$0$0$0
SARAH DESROCHERS
DIRECTOR1.00Yes (X)$0$0$02.00
ZEANNY EGEA
DIRECTOR1.00Yes (X)$0$0$0
STANLEY HOLZ
DIRECTOR1.00Yes (X)$0$0$0
SHARON KOPP
DIRECTOR1.00Yes (X)$0$0$0
FRANCES LADUKE
DIRECTOR1.00Yes (X)$0$0$0
EDWARD SAMSON III
DIRECTOR1.00Yes (X)$0$0$0
THOMAS MEE
SYSTEM CEO1.00$0$681,354$28,979Yes (X)45.00
MICHAEL D LEE
PRESIDENT/CEO40.00$361,347$0$5,547Yes (X)1.00
MATTHEW STREETER
SYSTEM CFO1.00$0$300,812$10,917Yes (X)45.00
PROUSKEH B EBRAHIMPOUR
PHYSICIAN40.00$591,081$0$25,878Yes (X)
CHRISTOPHER LAURENT NP
NURSE PRACTICIONER40.00$495,132$0$35,271Yes (X)
ELISABETH MOORE
PHYSICIAN40.00$424,748$0$48,979Yes (X)
JOHN FORD
PRIMARY CARE/FAMILY MEDICINE PRACT.40.00$420,791$0$16,397Yes (X)
MAUDE OETKING
PHYSICIAN40.00$430,082$0$23,207Yes (X)
CELESTE PITTS
FORMER CFO24.00$175,540$0$19,71416.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,769,051TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,107,541TotReportableCompRltdOrgAmt
Total Other Compensation$278,108TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K66IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
FASTAFF
PO BOX 911452DENVERCO802911452CONTRACT LABOR$1,170,956
NORTH COUNTRY HEALTHCARE
8 CLOVER LANEWHITEFIELDNH03598MANAGEMENT SERVICES$974,140
MEDICAL SOLUTIONS
PO BOX 670529DALLASTX752670529CONTRACT LABOR$801,557
AMERICAN HEALTHCARE STAFFING ASSOCIATION
PO BOX 850737MINNEAPOLISMN554850737CONTRACT LABOR$763,162
ANDROSCOGGIN VALLEY HOSPITAL
59 PAGE HILL RDBERLINNH03570MANAGEMENT SERVICES$620,038
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Government Grants$657,177GovernmentGrantsAmt
All Other Contributions$127,964AllOtherContributionsAmt
Total Contributions$785,141TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE621400$81,565,921$81,565,921
PHARMACY REVENUE456110$1,844,861$1,844,861

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,228,880TotalRevenueColumnAmt
Related Or Exempt Func Income$1,228,880RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$84,639,662TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$296,392TotalRevenueColumnAmt
Exclusion$296,392ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$561,315RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$561,315RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$561,315TotalRevenueColumnAmt
Exclusion$561,315ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$48,588SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$48,588SecuritiesAmt
Other$1,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$47,588TotalRevenueColumnAmt
Exclusion-$47,588ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722514$169,522$169,522
GAIN ON AFFILIATE ACTIVITY621990$45,147$45,147

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$461,838TotalRevenueColumnAmt
Exclusion$461,838ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$676,507OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$86,911,429TotalRevenueColumnAmt
Related Or Exempt Func Income$84,639,662RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,486,626ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$318,227TotalAmt
Program Services$318,227ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,247,672TotalAmt
Program Services$880,474ProgramServicesAmt
Management And General$367,198ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,679,390TotalAmt
Program Services$22,987,520ProgramServicesAmt
Management And General$1,691,870ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$448,778TotalAmt
Program Services$353,019ProgramServicesAmt
Management And General$95,759ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,908,927TotalAmt
Program Services$4,656,937ProgramServicesAmt
Management And General$1,251,990ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,890,248TotalAmt
Program Services$1,489,549ProgramServicesAmt
Management And General$400,699ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,041TotalAmt
Management And General$60,041ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$10,194TotalAmt
Management And General$10,194ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,114TotalAmt
Management And General$7,114ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,709,599TotalAmt
Program Services$10,684,451ProgramServicesAmt
Management And General$25,148ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$641,887TotalAmt
Program Services$4,992ProgramServicesAmt
Management And General$636,895ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$218,787TotalAmt
Program Services$165,674ProgramServicesAmt
Management And General$53,113ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,384,594TotalAmt
Management And General$3,384,594ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,285,280TotalAmt
Program Services$2,248,193ProgramServicesAmt
Management And General$37,087ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$147,331TotalAmt
Program Services$142,822ProgramServicesAmt
Management And General$4,509ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$55,345TotalAmt
Program Services$50,265ProgramServicesAmt
Management And General$5,080ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$412,587TotalAmt
Program Services$236,615ProgramServicesAmt
Management And General$175,972ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,979,616TotalAmt
Program Services$2,571,803ProgramServicesAmt
Management And General$1,407,813ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,087,150TotalAmt
Program Services$512,427ProgramServicesAmt
Management And General$574,723ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICAL EXPENSE$10,054,820$10,054,820
INTERCOMPANY ALLOCATION$6,803,608$3,573,361$3,230,247
ENHANCEMENT TAX$5,668,836$5,668,836
BAD DEBT EXPENSE$3,578,994$3,578,994

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,505,238TotalAmt
Program Services$3,952,338ProgramServicesAmt
Management And General$552,900ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,104,263TotalAmt
Program Services$68,462,481ProgramServicesAmt
Management And General$19,641,782ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,392,559BOYAmt
EOY$168,398EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$7,124,495BOYAmt
EOY$10,636,374EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$946,771EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,492,049BOYAmt
EOY$8,735,189EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$9,534,913BOYAmt
EOY$9,534,913EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,407,868BOYAmt
EOY$1,759,746EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,480,157BOYAmt
EOY$1,145,301EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$68,050,966LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,833,786LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,528,598BOYAmt
EOY$23,217,180EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,372,093BOYAmt
EOY$13,021,535EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,218,350BOYAmt
EOY$2,484,065EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$76,551,082BOYAmt
EOY$71,649,472EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,014,808BOYAmt
EOY$8,732,601EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$336,358BOYAmt
EOY$32,561EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,223,590BOYAmt
EOY$4,840,504EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,513,796BOYAmt
EOY$3,321,280EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,186,841BOYAmt
EOY$5,794,888EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,275,393BOYAmt
EOY$22,721,834EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$49,057,380BOYAmt
EOY$47,512,984EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,218,309BOYAmt
EOY$1,414,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,275,689BOYAmt
EOY$48,927,638EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$76,551,082BOYAmt
EOY$71,649,472EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,192,834ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,874,877NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,030,094OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$10,194OtherActivitiesAmt
Total Lobbying Expenditures$10,194TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationWEEKS MEDICAL CENTER IS A MEMBER OF THE NEW HAMPSHIRE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF WMC AND OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSES. WMC DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,030,257BeginningYearBalanceAmt
Investment Earnings Or Losses$100,161InvestmentEarningsOrLossesAmt
End Year Balance$1,130,418EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,118,195BeginningYearBalanceAmt
Investment Earnings Or Losses-$87,938InvestmentEarningsOrLossesAmt
End Year Balance$1,030,257EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,012,784BeginningYearBalanceAmt
Investment Earnings Or Losses$105,411InvestmentEarningsOrLossesAmt
End Year Balance$1,118,195EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,038,704BeginningYearBalanceAmt
Investment Earnings Or Losses-$25,920InvestmentEarningsOrLossesAmt
End Year Balance$1,012,784EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,040,597BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,893InvestmentEarningsOrLossesAmt
End Year Balance$1,038,704EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.80671PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19330TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$532,630OtherCostOrOtherBasisAmt
Book Value$532,630BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,119,341OtherCostOrOtherBasisAmt
Depreciation$12,476,849DepreciationAmt
Book Value$7,642,492BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,341,646OtherCostOrOtherBasisAmt
Depreciation$32,356,937DepreciationAmt
Book Value$13,984,709BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,057,349OtherCostOrOtherBasisAmt
Book Value$1,057,349BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,217,180TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
AMOUNTS PAYABLE TO THIRD-PARTY REIMBURSEMENT PROGRAMS$4,599,836
DUE TO RELATED PARTIES$1,195,052
FieldValueIRS element (for citing)
Total Liability$5,794,888TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationWEEKS MEDICAL CENTER ENDOWMENT FUNDS WERE GIFTED WITH THE INTENT TO HELP DEFRAY THE COSTS OF INDIGENT CARE FOR ADULTS AND CHILDREN, AND GENERAL UPKEEP AND OPERATIONS OF THE HOSPITAL. THE INCOME GENERATED BY THE ENDOWMENT FUNDS ARE TO BE USED FOR HOSPITAL OPERATIONS AND SCHOLARSHIPS FOR MEDICAL EDUCATION FOR EMPLOYEES OF THE HOSPITAL.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$190,787TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$190,787NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,363,750TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,996,516DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,367,234NetCommunityBenefitExpnsAmt
Total Expense0.07530TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,554,537TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,996,516DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,558,021NetCommunityBenefitExpnsAmt
Total Expense0.07760TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,909,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,875,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,033,975NetCommunityBenefitExpnsAmt
Total Expense0.13050TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$180,473TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$180,473NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,090,347TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$14,875,899DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,214,448NetCommunityBenefitExpnsAmt
Total Expense0.13260TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,644,884TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,872,415DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,772,469NetCommunityBenefitExpnsAmt
Total Expense0.21020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,420,426BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$19,295,016ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,385,125CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$90,109MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEEKS MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1173 MIDDLE STREETAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03584ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.WEEKSMEDICAL.ORGWebsiteAddressTxt
State License00015StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1WEEKS MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SUPPLEMENTAL INFORMATIONOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSEE SUPPLEMENTAL INFORMATIONStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTPS://WEEKSMEDICAL.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATIONFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTPS://WEEKSMEDICAL.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATIONFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTPS://WEEKSMEDICAL.ORG/PATIENTS-VISITORS/FINANCIAL-INFORMATIONFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
WEEKS MEDICAL CENTERPART V, SECTION B, LINE 5: AN ELECTRONIC SURVEY WAS SENT TO A SELECT GROUP OF LOCAL EXPERTS THAT INCLUDED INFORMATION FROM WELL-RESPECTED SECONDARY SOURCES ON THE CURRENT STATE OF HEALTH CARE IN THE COMMUNITY. INDIVIDUALS AND AGENCIES INVOLVED IN PUBLIC HEALTH AND STATE & LOCAL HEALTH WERE INCLUDED AS WERE INDIVIDUALS FROM PRIORITY POPULATIONS, CHRONIC DISEASE GROUPS AND OTHER COMMUNITY MEMBERS.
WEEKS MEDICAL CENTERPART V, SECTION B, LINE 6A: THE HOSPITAL'S CHNA WAS CONDUCTED ALONG WITH UPPER CONNECTICUT VALLEY HOSPITAL AND ANDROSCOGGIN VALLEY HOSPITAL.
WEEKS MEDICAL CENTERPART V, SECTION B, LINE 6B: THE HOSPITAL'S CHNA WAS CONDUCTED ALONG WITH COOS COUNTY FAMILY HEALTH AND NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY. THE FIRST IS A LOCAL FQHC.
WEEKS MEDICAL CENTERPART V, SECTION B, LINE 7D: PART V, SECTION B, LINE 7A & 10A:HTTPS://WEEKSMEDICAL.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
WEEKS MEDICAL CENTERPART V, SECTION B, LINE 11: WEEKS MEDICAL CENTER TOOK THE FOLLOWING STEPS DURING FY 2023 TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENT CHNA, COMPLETED IN TAX YEAR 2021:- ADDITIONAL PROVIDERS ADDED TO EXISTING WMC BEHAVIORAL HEALTH PRACTICE- CONTINUANCE OF FINANCIAL ASSISTANCE- PA-C ADDED TO BERLIN AND COLEBROOK MARKET TO REPLACE PREVIOUS PA-C. (CHRONIS DISEASE MANAGEMENT HEART DISEASE)- WE HAVE CONDUCTED VIRTUAL LECTURES ON VARIOUS HEALTH-RELATED TOPICS, BASED ON PROVIDER AVAILABILITY. NOT NECESSARILY CHRONIC DISEASE EDUCATION. WE HAVE HAD A PRESENCE (AND WILL LATER THIS MONTH AND NEXT) AT LANCASTER FAIR TO CONDUCT BLOOD PRESSURE SCREENINGS, PROVIDE INFORMATION. COMMUNITY WELLNESS FAIR WAS SCHEDULED EARLIER THIS SUMMER, BUT POSTPONED DUE TO EXTREME HEAT.- UNDER ACCESS TO HEALTHCARE- WE ADDED A NEW POSITION: CLINICAL LIAISON, WHO IS A NURSE, SHE ROUNDS AT EACH HOSPITAL DAILY TO FACILITATE DISCHARGES TO HOME HEALTH, PALLIATIVE CARE AND HOSPICE.- UNDER CHRONIC DISEASE MANAGEMENT: WEEKS HIRED A PALLIATIVE APRN IN MARCH. PALLIATIVE CARE CAN HELP OUR COMMUNITY GREATLY BY ASSISTING PATIENTS WHO HAVE CHRONIC ILLNESSES ACHIEVE SYMPTOM CONTROL, COMPLETE ADVANCED DIRECTIVES AND STAY OUT OF THE HOSPITAL- ALZHEIMER'S AND DEMENTIA- NCHHHA STARTED AN ALZHEIMER'S AND DEMENTIA SUPPORT GROUP FOR CAREGIVERS
WEEKS MEDICAL CENTERPART V, SECTION B, LINE 16J: BROCHURES AND FINANCIAL COUNSELOR INFORMATION ARE AVAILABLE IN LOBBIES AND HANDED OUT TO PATIENTS. ALSO, CONTACT INFORMATION FOR FINANCIAL COUNSELORS IS PROVIDED ON BILLS AND LETTERS THAT GO OUT.
FieldValueIRS element (for citing)
Facility4FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - LANCASTER PHYSICIANS OFFICES
170 MIDDLE STLANCASTERNH03584PHYSICIAN OFFICE FOR PRIMARY CARE
2 - WHITEFIELD PHYSICIANS OFFICES
8 CLOVER LANEWHITEFIELDNH03598PHYSICIAN OFFICE FOR PRIMARY CARE
3 - NORTH STRATFORD PHYSICIANS OFFICES
43 MAIN STNORTH STRATFORDNH03590PHYSICIAN OFFICE FOR PRIMARY CARE
4 - GROVETON PHYSICIANS OFFICES
12 CHURCH STGROVETONNH03582PHYSICIAN OFFICE FOR PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE HOSPITAL USES A COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO WAS DERIVED FROM THE FORM 990 SCHEDULE H WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES PART I, LINES 7E-I. THE HOSPITAL DETERMINES COST BY COMBINING DIRECT EXPENSES IDENTIFIED BY ITS ACCOUNTING SYSTEM WITH AN ESTIMATED OVERHEAD ALLOCATION.
PART I, LINE 7G:THE COSTS OF SUBSIDIZED HEALTH SERVICES ARE RELATED TO THE EMERGENCY DEPARTMENT AND FOUR RURAL HEALTH CLINICS.
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 $ 3,578,994.
PART III, LINE 2:THE HOSPITAL USES A COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO WAS DERIVED FROM THE FORM 990 SCHEDULE H WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. THE CCR WAS THEN APPLIED TO BAD DEBT EXPENSE AT CHARGE VALUE IN ORDER TO ARRIVE AT THE ESTIMATED EXPENSE REPORTED.
PART III, LINE 4:PLEASE SEE PAGES 9-13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:THE HOSPITAL IS DESIGNATED AS A CRITICAL ACCESS HOSPITAL AND, AS SUCH, A PORTION OF ITS REVENUE IS PAID UNDER A COST REIMBURSEMENT SYSTEM. THE TOTAL MEDICARE REVENUE SHOWN BASED ON THE IRS 990 INSTRUCTIONS INCLUDES ONLY A PORTION OF THE TOTAL MEDICARE REVENUE OF THE HOSPITAL. THE COSTING METHOD USED ABOVE FOR IRS FORM 990 COMPLIANCE REPORTING IS ALSO BASED ON AN OVERALL AVERAGE COST-TO-CHARGE RATIO AND DOES NOT CONSIDER MEDICARE NON-ALLOWABLE EXPENSES AS IT IS BASED ON TOTAL HOSPITAL PATIENT SERVICE REVENUE (IGNORING CONTRACTUAL ADJUSTMENTS ON FEE SCHEDULE REIMBURSED ITEMS AND NON-ALLOWABLE MEDICARE EXPENSES AS NOTED ABOVE) DIVIDED BY TOTAL OPERATING EXPENSES LESS THE PROVISION FOR BAD DEBT EXPENSE. THIS RATIO IS THEN MULTIPLIED BY THE TOTAL MEDICARE SERVICES WHICH ARE REIMBURSED ON A COST METHODOLOGY EXCLUDING THE FEE SCHEDULE ITEMS LIKE PHYSICIAN SERVICES AND THE HOSPITAL WOULD SHOW A LARGE LOSS ON THESE SERVICES.WHETHER THERE IS A SHORTFALL OR SURPLUS FROM SERVICES PROVIDED TO MEDICARE BENEFICIARIES, THESE PEOPLE, WHO ARE TYPICALLY ELDERLY MEMBERS OF THE COMMUNITY, ARE AN UNDERSERVED POPULATION WHO EXPERIENCE ISSUES WITH ACCESS TO HEALTHCARE SERVICES. WITHOUT TAX-EXEMPT HOSPITALS PROVIDING MEDICARE PATIENT SERVICES, THE CENTERS FOR MEDICARE AND MEDICAID (CMS) WOULD BEAR THE BURDEN OF DIRECTLY PROVIDING SERVICES TO THE ELDERLY AND DISABLED MEMBERS OF THE COMMUNITY.
PART III, LINE 9B:ALL PATIENTS OF WEEKS MEDICAL CENTER WHO HAVE NO INSURANCE ARE NOTIFIED OF THE WEEKS HEALTH ACCESS FINANCIAL ASSISTANCE POLICY AND ENCOURAGED TO MAKE AN APPOINTMENT WITH ONE OF OUR FINANCIAL COUNSELORS OR SOCIAL WORKERS. THIS INFORMATION IS GIVEN OUT, ALONG WITH FINANCIAL ASSISTANCE APPLICATIONS, AT THE TIME OF APPOINTMENT AND IS ALSO AVAILABLE ON OUR WEBSITE AND IS REITERATED WITH OUR MONTHLY STATEMENTS SENT TO THE PATIENT. IT IS IMPOSSIBLE FOR OUR ORGANIZATION TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNTIL AN APPLICATION IS FILED - WE DO NOT ACCESS CREDIT REPORTS BUT RELY ON THE PATIENT SUPPLYING US WITH THE NECESSARY FINANCIAL INFORMATION. AT THAT TIME OF APPLICATION, IF A PATIENT IS DETERMINED TO BE ELIGIBLE, THEY ARE PROVIDED WITH FINANCIAL ASSISTANCE.
PART VI, LINE 2:EVERY 3 YEARS, WEEKS MEDICAL CENTER PARTICIPATES IN A COMMUNITY NEEDS ASSESSMENT WITH THREE OTHER MEMBERS OF THE COMMUNITY'S HEALTH CARE SYSTEM. USING INFORMATION FROM THAT ASSESSMENT ALLOWS THE HOSPITAL TO PROVIDE HEALTHCARE SERVICES TO THE NORTH COUNTRY COMMUNITY ON AN ONGOING BASIS.
PART VI, LINE 3:THE STAFF IS TRAINED TO DISCUSS THE HOSPITAL'S CHARITY CARE POLICY WITH PATIENTS, THE POLICY IS AVAILABLE THROUGHOUT THE HOSPITAL IN THE BROCHURE AND IT IS AVAILABLE ON THE HOSPITAL'S WEBSITE. WMC ALSO EMPLOYS A FULL-TIME FINANCIAL COUNSELOR AND OTHER CASE MANAGEMENT STAFF TO ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE PROCESS.
PART VI, LINE 4:WEEKS MEDICAL CENTER'S GENERAL GEOGRAPHIC CATCHMENT AREA CONSISTS OF NINE TOWNS, WHICH SUPPLY ALMOST 90% OF ITS PATIENTS. TOWNS INCLUDE LANCASTER, GROVETON, DALTON, WHITEFIELD, NORTH STRATFORD, JEFFERSON AND STARK, IN NEW HAMPSHIRE; AND LUNENBURG, GUILDHALL AND GILMAN, IN VERMONT. TOGETHER, THESE TOWNS HAVE A POPULATION OF APPROXIMATELY 13,000 AND COVER APPROXIMATELY 375 SQUARE MILES IN BOTH VERMONT AND NEW HAMPSHIRE. IN 2021, WEEKS OPENED A NEW PHYSICIAN OFFICE IN LITTLETON, NH. THE TOWN HAS A POPULATION OF APPROXIMATELY 4,500. WEEKS MEDICAL CENTER IS DEFINED BY THE GEOGRAPHIC COMMUNITIES THAT SURROUND ITS FACILITIES AND BY THE INDIVIDUALS AND GROUPS WHO BENEFIT FROM THE HEALTH AND WELLNESS SERVICES PROVIDED BY ITS VARIOUS HEALTH RELATED INSTITUTIONS. THE DEFINITION WAS DEVELOPED BY THE BOARD OF TRUSTEES, ITS COMMITTEES, ADMINISTRATIVE AND PROFESSIONAL STAFF IN THE PRACTICAL APPLICATION OF THE SERVICES PROVIDED BY THE INSTITUTIONS AND THE IDENTIFIED NEEDS OF THE COMMUNITIES SERVED.
PART VI, LINE 5:WMC PLAYS AN INTEGRAL ROLE IN THE EMERGENCY PREPAREDNESS PLANS OF OUR COMMUNITY. IN ADDITION TO BEING AVAILABLE IN AN EMERGENCY FROM A CLINICAL STANDPOINT, WE ARE A LARGE PART OF THE COMMUNITY WIDE PLANNING TEAM, TAKING THE LEAD IN THE PLANNING OF TRAINING & DRILLS AND BRINGING THE VARIOUS COMPONENTS TOGETHER, BASED ON STATE-WIDE STANDARDS.
PART VI, LINE 6:THE HOSPITAL IS AFFILIATED WITH OTHER ENTITIES UNDER THE NORTH COUNTRY HEALTHCARE WHICH OVERSEES THREE CRITICAL ACCESS HOSPITALS AND ONE HOME HEALTH AND HOSPICE AGENCY IN NORTHERN NEW HAMPSHIRE.
PART VI, LINE 7, REPORTS FILED WITH STATESNH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR HEALTHY COMMUNITIESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1125 AIRPORT ROADAddressLine1Txt
CityCONCORDCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03301ZIPCd
FieldValueIRS element (for citing)
Recipient EIN020275078RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$103,958CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantSUBSTANCE ABUSE PREVENTION, TREATMENT & RECOVERYPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE HOSPITAL WAS MANDATED BY THE STATE OF NH TO CONTRIBUTE FUNDS TO THE ALCOHOL AND DRUG PREVENTION TREATMENT FUND IN ORDER TO CONTINUE THE MEDICAID EXPANSION PROGRAM. THESE FUNDS GO TOWARDS VARIOUS PROGRAMS SURROUNDING RECOVERY, TREATMENT AND PREVENTION FOR SUBSTANCE MISUSE IN NEW HAMPSHIRE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS MEE
SYSTEM CEO$0$537,600$0$131,095$0$12,659$0$1,891$0$27,088$0$710,333$0$0
PROUSKEH B EBRAHIMPOUR
PHYSICIAN$590,292$0$0$0$789$0$0$0$25,878$0$616,959$0$0$0
MARK MORGAN MD
CMO$545,205$0$49,270$0$789$0$1,426$0$13,088$0$609,778$0$0$0
CHRISTOPHER LAURENT NP
NURSE PRACTICIONER$488,450$0$0$0$6,682$0$13,500$0$21,771$0$530,403$0$0$0
ELISABETH MOORE
PHYSICIAN$363,889$0$60,333$0$526$0$8,830$0$40,149$0$473,727$0$0$0
MAUDE OETKING
PHYSICIAN$426,609$0$0$0$3,473$0$11,605$0$11,602$0$453,289$0$0$0
JOHN FORD
PRIMARY CARE/FAMILY MEDICINE PRACT.$411,903$0$0$0$8,888$0$11,538$0$4,859$0$437,188$0$0$0
MICHAEL D LEE
PRESIDENT/CEO$287,983$0$67,471$0$5,893$0$336$0$5,211$0$366,894$0$0$0
AMBER SCHMIDT
MEDICAL STAFF PRESIDENT$274,541$0$0$0$525$0$2,836$0$37,612$0$315,514$0$0$0
MATTHEW STREETER
SYSTEM CFO$0$276,715$0$23,655$0$442$0$2,631$0$8,286$0$311,729$0$0
CELESTE PITTS
FORMER CFO$142,945$0$32,595$0$0$0$5,399$0$14,315$0$195,254$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION, USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF THE FILING ORGANIZATION: - COMPENSATION COMMITTEE - FORM 990 OF OTHER ORGANIZATIONS - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
PART I, LINE 4BTHOMAS MEE, SYSTEM CEO, PARTICIPATED IN A 457(F) PLAN ADMINISTERED BY NORTH COUNTRY HEALTHCARE, A RELATED ORGANIZATION. THERE WERE NO CONTRIBUTIONS OR DISTRIBUTIONS IN 2022.
PART I, LINE 7PART OF THE COMPENSATION PROGRAM OVERSEEN BY THE COMPENSATION COMMITTEE AND APPROVED BY THE CORPORATION BOARD AND AFFILIATE BOARDS INCLUDES VARIABLE INCENTIVE COMPENSATION FOR EXECUTIVES. THIS VARIABLE COMPENSATION IS A WITHHOLD OF TOTAL COMPENSATION AND EARNED BACK BY EXECUTIVES BASED ON STRATEGIC GOAL PERFORMANCE.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1BUSINESS FINANCE AUTHORITY OF THE STATE OF NHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN521304598BondIssuerEIN
Bond Issued2010-09-01BondIssuedDt
Issue Price$10,000,000IssuePriceAmt
PurposeREFINANCE EXISTING DEBT AND FINANCE THE HOSPITAL'S CONTRUCTION PROJECTPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$5,250,000RetiredAmt
Total Proceeds$10,000,000TotalProceedsAmt
Issuance Costs From Proceeds$112,960IssuanceCostsFromProceedsAmt
Capital Expenditures$3,044,490CapitalExpendituresAmt
Other Spent Proceeds$6,842,550OtherSpentProceedsAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PART IV, ARBITRAGE, LINE 2C:FormAndLineReferenceDesc
Explanation(A) ISSUER NAME: BUSINESS FINANCE AUTHORITY OF THE STATE OF NH DATE THE REBATE COMPUTATION WAS PERFORMED: 09/02/2022ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6EFFECTIVE APRIL 1, 2016, NORTH COUNTRY HEALTHCARE (NCH) BECAME THE SOLE MEMBER OF WEEKS MEDICAL CENTER.
FORM 990, PART VI, SECTION A, LINE 7AEACH MEMBER OF THE CORPORATION BOARD SHALL BE NOMINATED BY ACTION OF AN AFFILIATE BOARD, OR BY THE CORPORATION BOARD, AS THE CASE MAY BE, IN ACCORDANCE WITH THE NOMINATION POWERS INDICATED IN THE CORPORATION'S BYLAWS.
FORM 990, PART VI, SECTION A, LINE 7BTHE CORPORATION BYLAWS INCLUDE MAJOR MATTERS WHICH INCLUDE SPECIFIC DUTIES AND RESPONSIBILITIES WHICH ARE SHARED BY THE CORPORATION BOARD AND THE AFFILIATE BOARDS. THESE MAJOR MATTERS ARE FURTHER DISTINGUISHED BETWEEN MAJOR ORGANIZATIONAL MATTERS AND MAJOR OPERATIONAL MATTERS. IN BOTH CASES, THE BYLAWS CONTAIN THE PROVISIONS FOR THE APPROVAL OF THESE MATTERS INCLUDING WHETHER THEY ARE APPROVED BY A MAJORITY VOTE OR SUPER MAJORITY VOTE OF ALL BOARDS. IN ALL CASES, THE MAJOR MATTERS REQUIRE APPROVAL BY THE CORPORATION BOARD AND THE AFFILIATE BOARDS.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WILL BE SHARED ELECTRONICALLY WITH THE ENTIRE NCH BOARD AND FINANCE COMMITTEE BEFORE FILING, WITH ADEQUATE TIME FOR QUESTIONS TO BE ASKED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST PROCESS: - CONFLICT OF INTEREST DISCLOSURE COMPLETED VIA BOARDPAQ (ELECTRONIC MEANS). - RESULTS COMPILED INTO CONFLICT MATRIX WHICH IS REVIEWED AND APPROVED BY THE BOARD. - CONFLICTS THAT MEET THE PECUNIARY BENEFIT CRITERIA ARE IDENTIFIED, SHARED WITH THE BOARD AND APPROVED. - DISCLOSURE NOTICES ARE PLACED IN LOCAL PAPERS. - THE NH DIVISION OF CHARITABLE TRUSTS IS NOTIFIED OF THE PECUNIARY BENEFIT AND COPIES OF THE PUBLIC NOTICES ARE ATTACHED.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE IS A SUBCOMMITTEE OF THE FINANCE COMMITTEE OF THE CORPORATION BOARD. THIS COMMITTEE OVERSEES THE EXECUTIVE COMPENSATION POLICY AND PRACTICES OF THE ORGANIZATION INCLUDING THE CEO, THE AFFILIATE PRESIDENTS, AND THE CEO CABINET WHICH INCLUDES KEY EXECUTIVE POSITIONS FOR THE ORGANIZATION. THE COMPENSATION COMMITTEE ENGAGES WITH AN OUTSIDE CONSULTANT TO DETERMINE COMPENSATION BENCHMARKS AND BEST PRACTICES WHICH GUIDE THE COMPENSATION PROCESSES FOR THESE EXECUTIVE POSITIONS. THE COMPARISON BENCHMARK DATA AND GUIDANCE ARE REVIEWED BY THE COMMITTEE AND RECOMMENDATIONS ARE MADE TO THE CORPORATION BOARD AND AFFILIATE BOARDS. THIS IS DONE ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION HAS IMPLEMENTED ALL POLICIES AND THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 5,474,041. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,474,041. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,509,530. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,509,530. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,700,880. MANAGEMENT AND GENERAL EXPENSES 25,148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,726,028.
FORM 990, PART XI, LINE 9:INTERCOMPANY EQUITY TRANSFER -2,030,094.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
LANCASTER PATIENT CARE CENTER
173 MIDDLE STREETLANCASTERNH03584832130386SUPPORTING ORGANIZATIONNH501(C)(3)LINE 12A, IWEEKS MEDICAL CENTERYes (1)
GREAT NORTHWOODS COMMUNITY FOUNDATION
59 PAGE HILL ROADBERLINNH03570020452547HEALTHCARE SERVICESNH501(C)(3)LINE 12B, IIANDROSCOGGIN VALLEY HOSPITAL INCYes (1)
ANDROSCOGGIN VALLEY HOSPITAL FOUNDATION
59 PAGE HILL ROADBERLINNH03570223035216MANAGEMENT AND FINANCIAL SUPPORTNH501(C)(3)LINE 12B, IIANDROSCOGGIN VALLEY HOSPITAL INCYes (1)
NORTHCARE INC
59 PAGE HILL ROADBERLINNH03570521596952SUPPORTING SERVICESNH501(C)(3)LINE 12B, IIANDROSCOGGIN VALLEY HOSPITAL INCYes (1)
NORTH COUNTRY HOME HEALTH & HOSPICE AGENCY INC
536 COTTAGE STREETLITTLETONNH03561020300637HOME HEALTH AGENCYNH501(C)(3)LINE 10NORTH COUNTRY HEALTHCARE INCYes (1)
UPPER CONNECTICUT VALLEY HOSPITAL
181 CORLISS LANECOLEBROOKNH03576020276210CRITICAL ACCESS HOSPITALNH501(C)(3)LINE 3NORTH COUNTRY HEALTHCARE INCYes (1)
NORTH COUNTRY HEALTHCARE INC
8 CLOVER LANEWHITEFIELDNH03598812225283HEALTHCARE MANAGEMENTNH501(C)(3)LINE 12A, I0N/A
ANDROSCOGGIN VALLEY HOSPITAL INC
59 PAGE HILL ROADBERLINNH03570020280367CRITICAL ACCESS HOSPITALNH501(C)(3)LINE 3NORTH COUNTRY HEALTHCARE INCYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LANCASTER PATIENT CARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$179,000InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt