WEEKS MEDICAL CENTER: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- WEEKS MEDICAL CENTER (EIN 02-0222242)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-02-08
- IRS object ID
- 201640399349301314
- Schema version
- 2014v6.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-08T15:07:35-06:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 041041100 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222242 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weeks Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEEK | BusinessNameControlTxt |
| Phone | 6037884911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 173 Middle Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03584 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott W Howe | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6037884911 | PhoneNum |
| Signature | 2016-02-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara J McGuan CPA | PreparerPersonNm |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2016-02-05 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Scott W Howe | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 173 Middle Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03584 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $46,055,690 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.weeksmedical.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1948 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | To provide high quality and efficient health care services | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 420 | TotalEmployeeCnt |
| Total Volunteers | 126 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $428,108 | PYContributionsGrantsAmt |
| CY Contributions Grants | $385,581 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,036,524 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $42,167,196 | CYProgramServiceRevenueAmt |
| PY Investment Income | $758,353 | PYInvestmentIncomeAmt |
| CY Investment Income | $617,295 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$692 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $42,222,293 | PYTotalRevenueAmt |
| CY Total Revenue | $43,170,072 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,632,210 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,936,076 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,850,511 | PYOtherExpensesAmt |
| CY Other Expenses | $18,173,623 | CYOtherExpensesAmt |
| PY Total Expenses | $41,482,721 | PYTotalExpensesAmt |
| CY Total Expenses | $42,109,699 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $739,572 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,060,373 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,394,836 | TotalAssetsBOYAmt |
| Total Assets EOY | $49,416,785 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,904,305 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,504,316 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,490,531 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,912,469 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Weeks 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $35,783,305 | ExpenseAmt |
| Revenue | $42,167,196 | RevenueAmt |
| Desc | Health 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 | $35,783,305 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 420 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Scott W Howe | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6037884911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 173 Middle Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03584 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| David Atkinson | |||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Scott Burns | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| George Cook | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Dennis Couture | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Donald Crane | |||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sarah Desrochers | |||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| William Everleth | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Charlie Fitch | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Stanley Holz | |||||||
| Vice President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Patrick Kelly | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Patsy Pilgrim | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Lisa Tetreault | |||||||
| Member at Large | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Keith Young | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Scott Howe | |||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $235,121 | $0 | $29,903 | |
| Lars Nielson | |||||||
| CMO | 40.00 | Yes (X) | Yes (X) | $323,034 | $0 | $37,213 | |
| Mederic LeBlanc | |||||||
| Medical Staff President | 40.00 | Yes (X) | $132,969 | $0 | $0 | ||
| Dana Muzzey | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Celeste Pitts | |||||||
| CFO | 40.00 | Yes (X) | $140,237 | $0 | $15,334 | ||
| Paul Kamins MD | |||||||
| Physician | 40.00 | $466,737 | $0 | $34,829 | Yes (X) | ||
| Mark Morgan MD | |||||||
| Physician | 36.00 | $434,699 | $0 | $34,247 | Yes (X) | ||
| David Pelkowski | |||||||
| Physician | 40.00 | $418,801 | $0 | $37,517 | Yes (X) | ||
| Christopher Laurent | |||||||
| Nurse Practitioner | 40.00 | $398,752 | $0 | $18,843 | Yes (X) | ||
| Maude Keeshin | |||||||
| Physician | 40.00 | $369,539 | $0 | $38,639 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,919,889 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $246,525 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kingdom Emergency | |||||
| 815 North Kirby Road | Lyndonville | VT | 35851 | ER Physician Coverage | $1,143,652 |
| Daniel Hebert | |||||
| 12 Pleasant Street | Colebrook | NH | 03576 | Contractor | $847,323 |
| Dartmouth-Hitchcock Clinic | |||||
| One Med Ctr Dr | Lebanon | NH | 03756 | Professional Services | $524,707 |
| New Hampshire Imaging Services | |||||
| One Pillsbury Street Suite 200 | Concord | NH | 03301 | Medical Services | $207,883 |
| MedPartners Locum Tenens | |||||
| PO Box 4729 | Winter Park | FL | 327934729 | Contract Physicians | $174,640 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 10 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $195,430 | GovernmentGrantsAmt |
| All Other Contributions | $190,151 | AllOtherContributionsAmt |
| Total Contributions | $385,581 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service | 621400 | $76,087,370 | $76,087,370 |
| Miscellaneous | 621400 | $2,186,925 | $2,186,925 |
| Meaningful Use | 621400 | $891,764 | $891,764 |
| Provision for Bad Debts | 621400 | -$1,846,607 | -$1,846,607 |
| Contractual/Char. Adj. | 621400 | -$35,152,256 | -$35,152,256 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $42,167,196 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $417,615 | TotalRevenueColumnAmt |
| Exclusion | $417,615 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,078,798 | SecuritiesAmt |
| Other | $6,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,850,873 | SecuritiesAmt |
| Other | $34,745 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $227,925 | SecuritiesAmt |
| Other | -$28,245 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $199,680 | TotalRevenueColumnAmt |
| Exclusion | $199,680 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,170,072 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,167,196 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $617,295 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $913,811 | TotalAmt |
| Management And General | $913,811 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,739,682 | TotalAmt |
| Program Services | $16,078,042 | ProgramServicesAmt |
| Management And General | $2,661,640 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $445,248 | TotalAmt |
| Program Services | $401,886 | ProgramServicesAmt |
| Management And General | $43,362 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,630,234 | TotalAmt |
| Program Services | $2,329,094 | ProgramServicesAmt |
| Management And General | $301,140 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,207,101 | TotalAmt |
| Program Services | $1,043,901 | ProgramServicesAmt |
| Management And General | $163,200 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,643 | TotalAmt |
| Program Services | $47,832 | ProgramServicesAmt |
| Management And General | $354,811 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,077 | TotalAmt |
| Management And General | $27,077 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,136 | TotalAmt |
| Management And General | $65,136 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,828 | TotalAmt |
| Management And General | $47,828 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,508,406 | TotalAmt |
| Program Services | $4,408,333 | ProgramServicesAmt |
| Management And General | $100,073 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,421 | TotalAmt |
| Management And General | $83,421 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $293,793 | TotalAmt |
| Program Services | $70,928 | ProgramServicesAmt |
| Management And General | $222,865 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $752,449 | TotalAmt |
| Management And General | $752,449 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,786 | TotalAmt |
| Program Services | $831,890 | ProgramServicesAmt |
| Management And General | $17,896 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,747 | TotalAmt |
| Program Services | $58,913 | ProgramServicesAmt |
| Management And General | $13,834 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,944 | TotalAmt |
| Program Services | $20,175 | ProgramServicesAmt |
| Management And General | $6,769 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,407 | TotalAmt |
| Program Services | $415,407 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,435,619 | TotalAmt |
| Program Services | $2,435,619 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,772 | TotalAmt |
| Program Services | $170,730 | ProgramServicesAmt |
| Management And General | $205,042 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient Care Supplies | $5,047,086 | $5,047,086 | |
| MET Taxes | $1,394,257 | $1,394,257 | |
| Miscellaneous | $1,375,252 | $1,029,212 | $346,040 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,109,699 | TotalAmt |
| Program Services | $35,783,305 | ProgramServicesAmt |
| Management And General | $6,326,394 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,250 | BOYAmt |
| EOY | $1,350 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,272,583 | BOYAmt |
| EOY | $13,003,565 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,958,113 | BOYAmt |
| EOY | $5,256,390 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $805,445 | BOYAmt |
| EOY | $560,616 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $747,048 | BOYAmt |
| EOY | $767,631 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,358 | BOYAmt |
| EOY | $699,017 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $41,438,198 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $26,471,761 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,353,690 | BOYAmt |
| EOY | $14,966,437 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,511,263 | BOYAmt |
| EOY | $14,077,801 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$30,938 | BOYAmt |
| EOY | -$21,945 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,024 | BOYAmt |
| EOY | $105,923 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,394,836 | BOYAmt |
| EOY | $49,416,785 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,158,914 | BOYAmt |
| EOY | $3,725,527 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $819,076 | BOYAmt |
| EOY | $801,241 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,741,500 | BOYAmt |
| EOY | $8,402,500 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,184,815 | BOYAmt |
| EOY | $8,575,048 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,904,305 | BOYAmt |
| EOY | $21,504,316 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,872,017 | BOYAmt |
| EOY | $26,512,276 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $628,215 | BOYAmt |
| EOY | $488,279 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $990,299 | BOYAmt |
| EOY | $911,914 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,490,531 | BOYAmt |
| EOY | $27,912,469 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,394,836 | BOYAmt |
| EOY | $49,416,785 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,060,373 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$553,853 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$84,582 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $9,114 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $9,114 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Weeks 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,174,268 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$62,816 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $76,100 | OtherExpendituresAmt |
| End Year Balance | $1,035,352 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,144,520 | BeginningYearBalanceAmt |
| Contributions | $2,285 | ContributionsAmt |
| Investment Earnings Or Losses | $27,463 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,174,268 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,131,612 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $12,908 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,144,520 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,031,277 | BeginningYearBalanceAmt |
| Contributions | $46,100 | ContributionsAmt |
| Investment Earnings Or Losses | $29,235 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | -$25,000 | OtherExpendituresAmt |
| End Year Balance | $1,131,612 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,662,763 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$67,822 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $568,664 | OtherExpendituresAmt |
| End Year Balance | $1,031,277 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.88080 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.11920 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $532,463 | OtherCostOrOtherBasisAmt |
| Book Value | $532,463 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,310,575 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,949,545 | DepreciationAmt |
| Book Value | $5,361,030 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,956,177 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,354,134 | DepreciationAmt |
| Book Value | $7,602,043 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,638,983 | OtherCostOrOtherBasisAmt |
| Depreciation | $168,082 | DepreciationAmt |
| Book Value | $1,470,901 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,966,437 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Capital Leases | $7,815 |
| Interest Rate Swap | $384,848 |
| Estimated Third-Party Payor Settlements | $8,182,385 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,575,048 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $42,483,809 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$553,853 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $57,858 | OtherRevenueAmt |
| Revenue Not Reported | -$495,995 | RevenueNotReportedAmt |
| Revenue Subtotal | $42,979,804 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $47,828 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $142,440 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $190,268 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $43,170,072 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $42,061,871 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $42,061,871 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $47,828 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $47,828 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $42,109,699 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Weeks Medical Center Endowment Funds were gifted with the intent to help defray the costs of indigent care for adults and children, hospice services and general upkeep and operations of the hospital. |
| Part XI, Line 2d - Other Adjustments: | Unrealized Gain on Interest Rate Swap 57,858. |
| Part XI, Line 4b - Other Adjustments: | Transfer of Assets to Northern New Hampshire Healthcare Collaborative, Inc. 142,440. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $524,803 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $460,077 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,172,207 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,858,573 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,313,634 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05490 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,056,167 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $475,022 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $581,145 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,753,177 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,398,321 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,354,856 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07960 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $609,224 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $571,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01360 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $329,430 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,338 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $297,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00710 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,227,941 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,104,526 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $123,415 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,166,595 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,174,429 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $992,166 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02360 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,919,772 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,572,750 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,347,022 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10320 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 131 | PersonsServedCnt |
| Total Community Benefit Expns | $96,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $448 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $95,918 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $68,926 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $68,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 47 | PersonsServedCnt |
| Total Community Benefit Expns | $19,361 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,351 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 178 | PersonsServedCnt |
| Total Community Benefit Expns | $184,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $458 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $184,195 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $864,776 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $19,786,198 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,986,059 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$199,861 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weeks Medical Center Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 173 Middle Street | AddressLine1Txt |
| City | Lancaster | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03584 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Weeks Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.weeksmedical.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.weeksmedical.org | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.weeksmedical.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.weeksmedical.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Weeks Medical Center | Part V, Section B, Line 5: Input from the community was gathered using two methods including interviews and a public survey. Interviews of 36 individuals were conducted throughout the Weeks Medical Center primary service area. The individuals included elected state legislators, town managers, police chiefs, long term care facilities, dental providers, public health network, FQHC, clergy, business and residents. The group interviewed included 24 individuals that used Weeks Medical Center for medical care and 6 individuals that did not use Weeks Medical Center. The survey was circulated in a number of methods including email to the school district employees, Weeks Medical Center employees and paper copies available in all of our offices for the public. The surveys were completed by 224 individuals from across our communities. |
| Weeks Medical Center | Part V, Section B, Line 11: Significant Needs Identified and Being Addressed:1. Uninsured - A high percentage of the population in the Weeks Medical Center Primary Service Area is without health insurance and needed access to appropriate health care services.Weeks Medical Center provides free health services to patients without health insurance through our Weeks Health Access Plan. This plan is available to any resident of Weeks Medical Center Primary Service Area that is not eligible for Insurance or Medicaid with an income and assets (excluding value of primary residence) less than the 300% of the Federal Poverty Guidelines. Weeks Medical Center will continue to offer the Weeks Health Access Plan and any individual presenting for medical services without insurance will be informed, they are eligible to apply for coverage under the Weeks Health Access Plan. This will be done by registration, case management and billing staff. Weeks Medical Center offers help with deductibles and co-pays through our Weeks Health Access Plan. Since our last CHNA was completed, the Accountable Care Act has gone into effect, creating many options for those previously without insurance to obtain coverage, either through expanded Medicaid or the Insurance Exchanges. Because of this significant change, WMC has modified its Financial Assistance Plan to focus more on patient balances after insurance, which can be quite large. Our income guidelines for our FAP have always been 300% of the FPL and below - the same income guidelines where expanded Medicaid and Insurance Exchanges are most beneficial. This program is available to any resident of our Primary Service Area and some secondary service areas, as specified in our policy.In 2012, Weeks Medical Center provided $3,006,108 of free care to individuals that were uninsured and unable to pay for services. The measure of ensuring access to care for residents of the Primary Care Service Area is maintaining or exceeding the amount of free care provided in 2012 or the drop in the number of uninsured to less than 18.6% on the NH Regional Health Profile for Coos County.2. Obesity - A large percentage of the population in the Weeks Medical Center Primary Service Area are obese. This is a result of the poor socioeconomics in the area that leads to poor nutritional habits. The obesity also results in the poor health status as indicated by the rate of high blood pressure and diabetes in the Area.Weeks Medical Center employees a full time registered dietician. The dietician is available to work with inpatients, outpatients and provides consult for patients in the physician offices. A partnership between NH Extension Services and Weeks Medical Center has offered healthy cooking classes to families. Weeks Medical Center has a wellness program for staff and their families to promote a health life style. Plus all patients are screened by Weeks Medical Center providers during office visits and provided appropriate information on lifestyle modification, exercise and nutrition.Weeks Medical Center will continue to employ a Registered Dietician to provide consultation to patients. Weeks Medical Center will also continue to partner with NH Extension Service on healthy cooking classes. Weeks Medical Center will continue to have a wellness program for staff and their families. A team will be created to explore and expand the outreach to the community on Nutrition Education as well as identify potential partners to work with collaboratively. Weeks Medical Center will develop a group visit program increase education and support for obese patients. The goal of our efforts will be to reduce the percent of Obese Patients in the Weeks Medical Center Physician Practices. The percentage of obese patients in the Weeks Medical Center Physician Practices currently is 41.8%.3. Teen Birth Rate - There is a high rate of teen births in comparison to the rest of the State of New Hampshire based on the NH Regional Health Profile.Weeks Medical Center operates a Family Planning Clinic that is available to teens throughout the Primary Service Area. The Family Planning Clinic provides individual birth control services to teens at reduced or no cost. Most recently, Weeks Medical Center has expanded its Family Practice services to North Stratford and Whitefield and has two more Providers who will be offering these valuable services.Weeks Medical Center will continue to operate the Family Planning Clinics. A media campaign will be designed and implemented to increase the awareness of these services. Primary Care Providers as appropriate will address birth control with any teens. The Family Planning Staff will outreach to the schools in the Primary Service Area and provide services or education as requested. The goal of our efforts will be to maintain a low number of Teen Births in the Weeks Medical Center Physician Practices. The number of Teen Births in the past year in the Weeks Medical Center Physician Practices was 5. This is a 3% teen birth rate for patients served by Weeks Medical Center.4. Smoking - There is a higher rate of smoking in the Primary Service Area.Weeks Medical Center has offered ongoing smoking cessation classes for the public to assist in reducing tobacco usage. Weeks Medical Center maintains a tobacco free campus. Weeks Medical Center will continue to offer smoking cessation classes on a regular basis plus create a marketing plan to encourage individuals to give up tobacco. Weeks Medical Center will develop a group visit program increase education and support for patients that smoke. The goal of our efforts will be to reduce the percentage of patients that smoke in the Weeks Medical Center Physician Practices. The percent of patients that smoke in the Weeks Medical Center Physician Practices currently is 24%, down from 49% in the previous year.5. Colonoscopies (Cancer Screening) - The residents of the Weeks Medical Center Primary Service Area are less likely to have had a colonoscopy. This is an important screening tool to reduce the incidents of colorectal cancer.The General Surgeons employed by Weeks Medical Center are available to perform colonoscopies on any residents of the Weeks Medical Center Primary Service Area.A media campaign will be designed and implemented to educate the residents of the Primary Service Area of the benefits of a colonoscopy. The Electronic Medical Record now includes a specific flag if a patient is due for a screening flag. Primary Care Providers will encourage patients to get a colonoscopy during the course of their evaluations. The goal of our efforts will be to increase the percent of Patients over 50 that have had a colonoscopy in the last 5 years in the Weeks Medical Center Physician Practices. The percent of patients over 50 that have had a colonoscopy in the past 5 years in the Weeks Medical Center Physician Practices currently is 49%, up from 38% in the previous year.Significant Needs Identified and Not Being Addressed:1. Alcohol/Drug Abuse - Weeks Medical Center does not have any credentialed professionals with expertise in this area and this is not considered in the scope of services offered. However, at the end of September 2015, a full-time Licensed Alcohol and Drug Counselor has been hired to assist our other providers with their patients. Non-Weeks patients may obtain these services through Northern Human Services.2. Increasing Primary Care Providers - This was highlighted as a need by the Community input but in reviewing the current data there appears to be adequate number of primary care providers. We therefore will not recruit additional primary care providers.3. Childbirth Services - Weeks Medical Center closed our Childbirth Services a number of years ago due to low volume. The low volume made it impossible to maintain a qualified staff and ensure quality of the service. The population has not increased and continues to age which would not indicate a need to provide Childbirth Services. Littleton Regional Hospital (21 miles away) and Androscoggin Valley Hospital (31 miles away) both offer these services.4. Mental Health Treatment - This is not in the scope of services provided by Weeks Medical Center. We do have a Psychiatric Nurse Practitioner and a Licensed Clinical Social Worker that are available to assist our other providers with their patients. Non-Weeks patients may obtain these services through Northern Human Services. |
| Weeks Medical Center | Part V, Section B, Line 16i: 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. |
| Weeks Medical Center | Part V, Section B, Line 20e: Weeks Medical Center (The Organization) takes multiple steps to collect information which will allow the Organization to determine patient eligibility. The Organization will send two letters offering Weeks Health Access, as well as, the screening and outreach up-front procedures for surgeries and large dollar accounts. Additionally, the Organization will work with the patients to set-up payment plans and assist patients with programs which they may qualify for. Our Financial Counseling staff are Certified Application Counselors and are also eligible to do Medicaid Presumptive Eligibility, which enables them to sign eligible patients up for Medicaid. The Medicaid program expanded due to the Affordable Care Act in August, 2014. The Organization believes these steps to be a reasonable effort.If a payment is not made, the Organization uses an outside agency to monitor payment plans and pursue payment or make payment arrangements. The outside agency will place unpaid accounts on the patients credit file. The Organization will look at unpaid accounts over $10,000 with the collection agency and determine if litigation should be pursued. |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Weeks Medical Center Part V, Section B, line 16a website: | http://www.weeksmedical.org |
| Weeks Medical Center Part V, Section B, line 16b website: | http://www.weeksmedical.org |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 4 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Lancaster Physicians Offices | ||||
| 170 Middle Street | Lancaster | NH | 03584 | Physician Office for primary care |
| Whitefield Physicians Offices | ||||
| 8 Clover Lane | Whitefield | NH | 03598 | Physician Office for primary care |
| Groveton Physicians Offices | ||||
| 12 Church Street | Groveton | NH | 03582 | Physician Office for primary care |
| North Stratford Physician Offices | ||||
| 43 Main Street | North Stratford | NH | 03590 | Physician Office for primary care |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Cost to charge ratio |
| Part I, Line 7g: | Chronic Disease Management, Emergency Department, Family Planning Program, Behaviorial Health Services, Child Psychology Program |
| Part III, Line 4: | Bad debt expense is described under Patient Accounts Receivable beginning on page 6 and in the third paragraph on page 12 of the Organization's attached financial statements. |
| Part III, Line 8: | The entire shortfall is treated as community benefit. Cost to charge ratio from the Medicare cost report was used. |
| 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 web-site 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 free care. |
| Part VI, Line 2: | In 2013, the Strategic Planning Committee conducted a community needs assessment. The community needs have been identified and became part of the planning process whereby specific initiatives were defined based on priorities and institutional capacity. The initiatives will become part of the overall 2014-2019 Strategic Plan. The community health needs assessment is available on the Organization's website. Initial planning has commenced for the community health needs assessment due in fiscal year 2016. |
| 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.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 7, Reports Filed With States | NH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Scott Howe | ||||||||||||||
| CEO | $235,121 | $0 | $0 | $0 | $0 | $0 | $7,332 | $0 | $22,571 | $0 | $265,024 | $0 | $0 | $0 |
| Lars Nielson | ||||||||||||||
| CMO | $323,034 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $29,413 | $0 | $360,247 | $0 | $0 | $0 |
| Celeste Pitts | ||||||||||||||
| CFO | $140,237 | $0 | $0 | $0 | $0 | $0 | $4,336 | $0 | $10,998 | $0 | $155,571 | $0 | $0 | $0 |
| Paul Kamins MD | ||||||||||||||
| Physician | $466,737 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $27,029 | $0 | $501,566 | $0 | $0 | $0 |
| Mark Morgan MD | ||||||||||||||
| Physician | $434,699 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $26,447 | $0 | $468,946 | $0 | $0 | $0 |
| David Pelkowski | ||||||||||||||
| Physician | $418,801 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $29,717 | $0 | $456,318 | $0 | $0 | $0 |
| Christopher Laurent | ||||||||||||||
| Nurse Practitioner | $398,752 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $11,043 | $0 | $417,595 | $0 | $0 | $0 |
| Maude Keeshin | ||||||||||||||
| Physician | $369,539 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $30,839 | $0 | $408,178 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Part VII, Section A, Line 5 | FormAndLineReferenceDesc |
| Explanation | Mederic LeBlanc received compensation from Kingdom Emergency Sevices, LLC (an unrelated third party) for services rendered to the Organization in calendar year 2014. His compensation was as follows: Compensation: $132,969 | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Business Finance Authority of the State of NH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 521304598 | BondIssuerEIN |
| Bond Issued | 2010-09-01 | BondIssuedDt |
| Issue Price | $10,000,000 | IssuePriceAmt |
| Purpose | Refinance existing debt and finance the Hospital's contruction project | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $1,597,500 | RetiredAmt |
| Total Proceeds | $10,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $112,960 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $3,044,490 | CapitalExpendituresAmt |
| Other Spent Proceeds | $6,842,550 | OtherSpentProceedsAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: Business Finance Authority of the State of NH Date the Rebate Computation was Performed: 09/01/2015 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, line 11 | The Finance Committe reviews and approves the Form 990 and provides a copy to each member prior to submission. |
| Form 990, Part VI, Section B, line 12c | The organization requires the Board Members to review and sign a Conflict of Interest Policy annually. The organization also provides annual 990 questionnaires with several potential conflict situations discussed and distributed to the full Board every year at the time of the audit. Responses are sent directly to the audit firm. Any conflict discovered by the CPA's would be addressed by Hospital Management. |
| Form 990, Part VI, Section B, line 15 | The CEO's compensation is determined by the Compensation Committee of the Board, a written employment contract, a state compensation survey and approval of the full Board and Compensation Committee. Other officers have their compensation determined through a state compensation survey, along with approval of the CEO. |
| 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 IX, line 11g | Other Fees: Program service expenses 4,408,333. Management and general expenses 100,073. Fundraising expenses 0. Total expenses 4,508,406. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Weeks Medical Center 173 Middle Street Lancaster, NH 03584 EIN: 02-0222242 Weeks Medical Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Unrealized Gain on Interest Rate Swap 57,858. Transfer of Assets to Northern New Hampshire Healthcare Collaborative, Inc. -142,440. |