WEEKS MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- WEEKS MEDICAL CENTER (EIN 02-0222242)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-02-04
- IRS object ID
- 201530359349300443
- Schema version
- 2013v4.0
- 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 G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-02-04T12:28:02-06:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Lancaster | City |
| State | NH | State |
| ZIP Code | 03584 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Scott W Howe | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 6037884911 | PhoneNum |
| Signature | 2015-02-02 | 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 | 2015-02-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-03-07 17:11:31Z | 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 | AddressLine1 |
| City | Lancaster | City |
| State | NH | State |
| ZIP Code | 03584 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $44,728,107 | 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 | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 427 | TotalEmployeeCnt |
| Total Volunteers | 202 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $571,981 | PYContributionsGrantsAmt |
| CY Contributions Grants | $428,108 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,972,943 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $41,036,524 | CYProgramServiceRevenueAmt |
| PY Investment Income | $403,777 | PYInvestmentIncomeAmt |
| CY Investment Income | $758,353 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$663 | PYOtherRevenueAmt |
| CY Other Revenue | -$692 | CYOtherRevenueAmt |
| PY Total Revenue | $42,948,038 | PYTotalRevenueAmt |
| CY Total Revenue | $42,222,293 | 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 | $26,035,318 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $23,632,210 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $20,836 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,859,986 | PYOtherExpensesAmt |
| CY Other Expenses | $17,850,511 | CYOtherExpensesAmt |
| PY Total Expenses | $43,895,304 | PYTotalExpensesAmt |
| CY Total Expenses | $41,482,721 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$947,266 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $739,572 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,154,341 | TotalAssetsBOYAmt |
| Total Assets EOY | $46,394,836 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $18,143,880 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,904,305 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,010,461 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $27,490,531 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | Yes (1) | SignificantChangeInd |
| Expense | $35,238,897 | ExpenseAmt |
| Revenue | $41,036,524 | RevenueAmt |
| Desc | Health care services to individuals in the surrounding region on an Inpatient & Outpatient basis, which includes Hospital Services, Physician Office services, and Hospice services. Home Health services were offered through 12/31/13. | Desc |
| Total Program Service Expenses | $35,238,897 | 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 | Yes (1) | 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 | Yes (1) | 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 | 41 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 427 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6037884911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 173 Middle Street | AddressLine1 |
| City | Lancaster | City |
| State | NH | State |
| ZIP Code | 03584 | ZIPCode |
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 | |||||||
| Trustee | 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) | $224,607 | $0 | $30,800 | |
| Lars Nielson | |||||||
| CMO | 40.00 | Yes (X) | Yes (X) | $313,705 | $0 | $36,312 | |
| Mederic LeBlanc | |||||||
| Medical Staff President | 40.00 | Yes (X) | $223,290 | $0 | $0 | ||
| John Ford MD | |||||||
| Past Medical Staff President | 40.00 | Yes (X) | $345,904 | $0 | $11,171 | ||
| Celeste Pitts | |||||||
| CFO | 40.00 | Yes (X) | $134,033 | $0 | $15,099 | ||
| Paul Kamins MD | |||||||
| Physician | 40.00 | $442,341 | $0 | $36,119 | Yes (X) | ||
| Mark Morgan MD | |||||||
| Physician | 36.00 | $408,950 | $0 | $36,371 | Yes (X) | ||
| David Pelkowski | |||||||
| Physician | 40.00 | $401,339 | $0 | $36,879 | Yes (X) | ||
| Christopher Laurent | |||||||
| Nurse Practitioner | 40.00 | $358,963 | $0 | $8,686 | Yes (X) | ||
| Maude Keeshin | |||||||
| Physician | 40.00 | $353,091 | $0 | $30,895 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,206,223 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $242,332 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kingdom Emergency | |||||
| 815 North Kirby Road | Lyndonville | VT | 35851 | Emergency Room Physician Coverage | $1,607,336 |
| AHSA LLC | |||||
| PO Box 945 | Traverse City | MI | 49685 | Contract Labor/Travel Nurses | $419,811 |
| AVH-HH Contract Staffing | |||||
| 59 Page Hill Rd | Berlin | NH | 03570 | Home Health Contracted Staffing | $389,698 |
| Dartmouth-Hitchcock Clinic | |||||
| One Med Ctr Dr | Lebanon | NH | 03756 | Professional Services | $367,334 |
| Daniel Hebert Inc | |||||
| 12 Pleasant St | Colebrook | NH | 03576 | Contractor - Building Projects | $327,834 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $22,305 | FundraisingAmt |
| Government Grants | $145,645 | GovernmentGrantsAmt |
| All Other Contributions | $260,158 | AllOtherContributionsAmt |
| Total Contributions | $428,108 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service | 621400 | $71,764,889 | $71,764,889 |
| Miscellaneous | 621400 | $1,766,223 | $1,766,223 |
| Meaningful Use | 621400 | $1,076,595 | $1,076,595 |
| Provision for Bad Debts | 621400 | -$1,934,949 | -$1,934,949 |
| Contractual/Char. Adj. | 621400 | -$31,636,234 | -$31,636,234 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $41,036,524 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $408,248 | TotalRevenueColumnAmt |
| Exclusion | $408,248 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,831,782 | SecuritiesAmt |
| Other | $1,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,462,465 | SecuritiesAmt |
| Other | $20,712 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $369,317 | SecuritiesAmt |
| Other | -$19,212 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $350,105 | TotalRevenueColumnAmt |
| Exclusion | $350,105 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $21,945 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $22,305 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $22,637 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$692 | TotalRevenueColumnAmt |
| Exclusion | -$692 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,222,293 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,036,524 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $757,661 | 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 | $1,334,921 | TotalAmt |
| Management And General | $1,334,921 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,121,739 | TotalAmt |
| Program Services | $16,065,317 | ProgramServicesAmt |
| Management And General | $2,056,422 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,517 | TotalAmt |
| Program Services | $387,700 | ProgramServicesAmt |
| Management And General | $52,817 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,520,864 | TotalAmt |
| Program Services | $2,146,837 | ProgramServicesAmt |
| Management And General | $374,027 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,214,169 | TotalAmt |
| Program Services | $1,007,396 | ProgramServicesAmt |
| Management And General | $206,773 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,918 | TotalAmt |
| Program Services | $77,202 | ProgramServicesAmt |
| Management And General | $326,716 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,889 | TotalAmt |
| Management And General | $12,889 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,935 | TotalAmt |
| Management And General | $59,935 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,438 | TotalAmt |
| Management And General | $41,438 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,475,891 | TotalAmt |
| Program Services | $4,863,789 | ProgramServicesAmt |
| Management And General | $612,102 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,897 | TotalAmt |
| Program Services | $934 | ProgramServicesAmt |
| Management And General | $66,127 | ManagementAndGeneralAmt |
| Fundraising | $20,836 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $342,587 | TotalAmt |
| Program Services | $72,077 | ProgramServicesAmt |
| Management And General | $270,510 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,630 | TotalAmt |
| Management And General | $38,630 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $814,622 | TotalAmt |
| Program Services | $778,741 | ProgramServicesAmt |
| Management And General | $35,881 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,405 | TotalAmt |
| Program Services | $96,604 | ProgramServicesAmt |
| Management And General | $9,801 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,492 | TotalAmt |
| Program Services | $30,770 | ProgramServicesAmt |
| Management And General | $1,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,836 | TotalAmt |
| Program Services | $446,836 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,565,620 | TotalAmt |
| Program Services | $2,565,620 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,186 | TotalAmt |
| Program Services | $148,650 | ProgramServicesAmt |
| Management And General | $180,536 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient Care Supplies | $4,277,070 | $4,277,070 | |
| Miscellaneous | $1,465,835 | $924,094 | $541,741 |
| MET Taxes | $1,349,260 | $1,349,260 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,482,721 | TotalAmt |
| Program Services | $35,238,897 | ProgramServicesAmt |
| Management And General | $6,222,988 | ManagementAndGeneralAmt |
| Fundraising | $20,836 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,250 | BOYAmt |
| EOY | $1,250 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,592,061 | BOYAmt |
| EOY | $9,272,583 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,294,702 | BOYAmt |
| EOY | $5,763,558 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $785,686 | BOYAmt |
| EOY | $747,048 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,860 | BOYAmt |
| EOY | $663,358 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $40,263,303 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,909,613 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,025,201 | BOYAmt |
| EOY | $15,353,690 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,833,471 | BOYAmt |
| EOY | $14,511,263 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $985 | BOYAmt |
| EOY | -$30,938 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,125 | BOYAmt |
| EOY | $113,024 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,154,341 | BOYAmt |
| EOY | $46,394,836 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,455,266 | BOYAmt |
| EOY | $3,158,914 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,669,231 | BOYAmt |
| EOY | $819,076 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,080,500 | BOYAmt |
| EOY | $8,741,500 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,938,883 | BOYAmt |
| EOY | $6,184,815 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,143,880 | BOYAmt |
| EOY | $18,904,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,416,246 | BOYAmt |
| EOY | $25,872,017 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,201 | BOYAmt |
| EOY | $628,215 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $988,014 | BOYAmt |
| EOY | $990,299 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,010,461 | BOYAmt |
| EOY | $27,490,531 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,154,341 | BOYAmt |
| EOY | $46,394,836 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $739,572 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $600,422 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $140,076 | 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 | $10,238 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,238 | 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, the American Hospital Association, and the Rural Home Care Network. 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 | $1,144,520 | BeginningYearBalanceAmt |
| Contributions | $2,285 | ContributionsAmt |
| Investment Earnings Or Losses | $27,463 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,174,268 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,591,035 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $118,038 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $46,310 | OtherExpendituresAmt |
| End Year Balance | $1,662,763 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.84330 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.15670 | 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 | $509,290 | OtherCostOrOtherBasisAmt |
| Book Value | $509,290 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,411,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,627,769 | DepreciationAmt |
| Book Value | $5,783,588 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,719,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,933,393 | DepreciationAmt |
| Book Value | $8,785,988 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $623,275 | OtherCostOrOtherBasisAmt |
| Depreciation | $348,451 | DepreciationAmt |
| Book Value | $274,824 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,353,690 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Capital Leases | $19,431 |
| Interest Rate Swap | $442,706 |
| Estimated Third-Party Payor Settlements | $5,722,678 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,184,815 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $41,806,834 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $600,422 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $162,713 | OtherRevenueAmt |
| Revenue Not Reported | $763,135 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,043,699 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $41,438 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,137,156 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,178,594 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $42,222,293 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $40,326,764 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $22,637 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $22,637 | ExpensesNotReportedAmt |
| Expenses Subtotal | $40,304,127 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $41,438 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,137,156 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $1,178,594 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $41,482,721 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 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: | Fundraising Expenses 22,637. Unrealized Gain on Interest Rate Swap 140,076. |
| Part XI, Line 4b - Other Adjustments: | Expenses from Discontinued Operations 1,137,156. |
| Part XII, Line 2d - Other Adjustments: | Fundraising Expenses 22,637. |
| Part XII, Line 4b - Other Adjustments: | Expenses from Discontinued Operations 1,137,156. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Hospice Ball | NameOfEvent1Amt |
| Gross Receipts Event1 | $44,250 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $22,305 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,945 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $11,619 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $8,826 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $692 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $44,250 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $22,305 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $21,945 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $11,619 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $8,826 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $692 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $22,637 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$692 | NetIncomeSummaryAmt |
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 | $2,211,688 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $390,261 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,821,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,728,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,634,352 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,093,774 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02640 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,156,295 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $766,721 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $389,574 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,096,109 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,791,334 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,304,775 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07970 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $592,922 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,065 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $554,857 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $473,423 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,207 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $472,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,536,071 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,858,765 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $677,306 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,602,416 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,898,037 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,704,379 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04110 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,698,525 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,689,371 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,009,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12080 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $90,802 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $90,802 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $105,857 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $105,857 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00260 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,675 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $213,334 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $213,334 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,072,216 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $18,865,245 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $19,055,803 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$190,558 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 173 Middle Street | AddressLine1 |
| City | Lancaster | City |
| State | NH | State |
| ZIP Code | 03584 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.weeksmedical.org | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (1) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| Asset Level | Yes (X) | AssetLevelInd |
| Medical Indigency | Yes (X) | MedicalIndigencyInd |
| Uninsured Discount | Yes (X) | UninsuredDiscountInd |
| Medicaid Medicare | Yes (X) | MedicaidMedicareInd |
| State Regulation | Yes (X) | StateRegulationInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| 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 (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Weeks Medical Center | Part V, Section B, Line 3: 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 14g: 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 18e: 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. During the past two years, the organization has partnered with North Country Health Consortium to provide Navigators on-site at the various practice locations in order to assist patients and the community with signing up for the Insurance Exchanges. In addition, our Financial Counseling staff have become 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| Lancaster Physicians Offices | ||||
| 170 Middle Street | Lancaster | NH | 03584 | Physician Office for primary care |
| Weeks Home Health | ||||
| 278 Main Street | Lancaster | NH | 03584 | Home Health & Hospice Services |
| 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 |
| Weeks Home Health | ||||
| 120 Main Street | Colebrook | NH | 03576 | Home Health & Hospice Services |
| North Stratford Physician Offices | ||||
| 43 Main Street | North Stratford | NH | 03590 | Physician Office for primary care |
| Weeks Home Health | ||||
| 7 Page Hill Road | Berlin | NH | 03570 | Home Health & Hospice Services |
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, Psychiatric Consultations, 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: | Last year, 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. |
| 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.Since the mergers of WMC's Home Health and Hospice with Upper Connecticut Valley Hospital's Home Health and Androscoggin Valley Hospital's Home Health, the service area for homecare services has expanded to include all of Coos County and some of Grafton County. The expanded territory covers 1,800 square miles and 41,800 residents.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. We are the ones who staff the 911 emergency line and tone out the ambulance when needed. 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 (9 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 | $224,607 | $0 | $0 | $0 | $0 | $0 | $7,020 | $0 | $23,780 | $0 | $255,407 | $0 | $0 | $0 |
| Lars Nielson | ||||||||||||||
| CMO | $313,705 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $28,512 | $0 | $350,017 | $0 | $0 | $0 |
| Mederic LeBlanc | ||||||||||||||
| Medical Staff President | $223,290 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $223,290 | $0 | $0 | $0 |
| John Ford MD | ||||||||||||||
| Past Medical Staff President | $345,904 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $3,371 | $0 | $357,075 | $0 | $0 | $0 |
| Paul Kamins MD | ||||||||||||||
| Physician | $442,341 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $28,319 | $0 | $478,460 | $0 | $0 | $0 |
| Mark Morgan MD | ||||||||||||||
| Physician | $408,950 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $28,571 | $0 | $445,321 | $0 | $0 | $0 |
| David Pelkowski | ||||||||||||||
| Physician | $401,339 | $0 | $0 | $0 | $0 | $0 | $7,946 | $0 | $28,933 | $0 | $438,218 | $0 | $0 | $0 |
| Christopher Laurent | ||||||||||||||
| Nurse Practitioner | $358,963 | $0 | $0 | $0 | $0 | $0 | $7,650 | $0 | $1,036 | $0 | $367,649 | $0 | $0 | $0 |
| Maude Keeshin | ||||||||||||||
| Physician | $353,091 | $0 | $0 | $0 | $0 | $0 | $7,800 | $0 | $23,095 | $0 | $383,986 | $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 (an unrelated third party) for services rendered to the Organization in calendar year 2013. His compensation was as follows: Compensation: $223,290 | 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 | BusinessNameLine1 |
| 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 | $1,258,500 | RetiredAmt |
| Total Proceeds | $10,000,000 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $112,960 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $9,887,040 | WorkingCapitalExpendituresAmt |
| 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 | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | 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 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cynthia Nielson | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Spouse of Lars Nielson, CMO and Trustee | RelationshipDescriptionTxt |
| Transaction | $21,862 | TransactionAmt |
| Transaction | Lars Nielson, CMO and Trustee's spouse is employed and compensated as a registered nurse by the organization. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, line 3 | In January 2014, the Hospital's Home Health division formally ceased operations under the Hospital and joined Northern New Hampshire Healthcare Collaborative, Inc. |
| 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 4,863,789. Management and general expenses 612,102. Fundraising expenses 0. Total expenses 5,475,891. |
| Form 990, Part XI, line 9: | Unrealized Gain on Interest Rate Swap 140,076. |
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