2020-05-14T11:13:05-05:00 2019-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2018-10-01 832130386 Lancaster Patient Care Center LANC 6037884911 173 Middle Street Lancaster NH 03584 Michael D Lee Chair 6037884911 2020-05-01 1 Joseph R Byrne P01289281 2077752387 2020-05-01 69.49.157.66 2020-05-01 10:12:47 ED P E262D3C9A45A77A46A0A2832CF74466488750570 EA30464B69773F55EDC3A856C791D25D3741171A 2018 2020-09-23 17:36:50Z X Michael D Lee 173 Middle Street Lancaster NH 03584 0 0 X www.weeksmedical.org X 2018 NH A supporting organization of Weeks Medical Center created as a requirement of New Market Tax Credit financing for the building of a replacement Physician Office for Weeks Medical Center Providers. The project started in fiscal year 2019 and will be completed in fiscal year 2020. 5 3 0 3 0 0 0 0 0 0 0 0 0 0 0 0 95 95 -95 14722802 14222568 500234 X Lancaster Patient Care Center (the "Corporation") is organized and shall always be operated exclusively for the benefit of Weeks Medical Center ("WMC"), a New Hampshire nonprofit corporation, all in furtherance of charitable and educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986, as amended (hereinafter, the "Code), including any corresponding provision of any future. 0 0 0 0 0 The Organization is supporting Weeks Medical Center by obtaining financing for the building of a 45,310 square foot Physician Office Building through a New Market Tax Credit structure. Financing was executed on November 14, 2018. Weeks Medical Center will be leasing the space from LPCC as of December 2019. The financing structure will remain intact for at least seven years, per the New Market Tax Credit regulations. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Celeste Pitts 6037885321 8 Clover Lane Whitefield NH 03598 Michael D Lee Chair 1.00 39.00 X X 0 218603 35992 Lisa Tetreault Secretary 1.00 39.00 X X 0 0 0 David Hill Treasurer 1.00 0.00 X X 0 0 0 Sarah Desrochers Board Member 1.00 1.00 X 0 0 0 Jon Freeman Board Member 1.00 0.00 X 0 0 0 0 218603 35992 0 0 1 0 Daniel Hebert Inc 12 Pleasant Street Colebrook NH 03576 Construction 9388883 1 0 0 0 0 95 95 95 0 95 0 X 4394726 10328076 0 0 10328076 0 14722802 0 1215825 0 13006743 0 14222568 X 500234 0 500234 0 14722802 X -95 500329 X 0 1 X 1 0 X X X 1 Weeks Medical Center 020222242 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 10328076 10328076 10328076 0 0 0 0 0 0 0 0 0 Michael D Lee Chair 0 175103 0 19500 0 24000 0 6286 0 29706 0 254595 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by the Chair of the Board and the CFO of Weeks Medical Center. After their review is complete, the Form is shared electronically with the Board prior to filing. Form 990, Part VI, Section B, line 12c Conflicts of interest are addressed by Weeks Medical Center, a related organization. Annual conflict of interest forms are signed by all officers, and Board members. Board members with a conflict are excused from voting on any items that relate to the other organization, etc. that is the conflict. Form 990, Part VI, Section B, line 15 Lancaster Patient Care Center has no employees. The President of the Organization is compensated by Weeks Medical Center, a related organization. The President's compensation is determined by the Executive Committee of the Weeks Medical Center Board (serving as the compensation committee), a written employment contract, a state compensation survey and approval of the full Board and Executive Committee. Other officers have their compensation determined through a state compensation survey, along with approval of the President. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Lancaster Patient Care Center 173 Middle Street Lancaster, NH 03584 EIN: 83-2130386 Lancaster Patient Care Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Net Asset Transfer from Weeks Medical Center 500,329. Weeks Medical Center 173 Middle Street Lancaster NH 03584 020222242 Critical Access Hospital NH 501(c)(3) Line 3 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0