WEEKS MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: WEEKS MEDICAL CENTER (EIN 02-0222242)
Tax period: 2011-10-01 to 2012-09-30
Filed: 2013-02-06
IRS object ID: 201310379349300126
Schema version: 2011v1.2
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-06T09:39:05-06:00	Timestamp
Tax Period End Date	2012-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	010523282	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Berry Dunn McNeil & Parker LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 Elm Street 15th Floor	AddressLine1
City	Manchester	City
State	NH	State
ZIP Code	03101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222242	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Weeks Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WEEK	NameControl
Phone	6037884911	Phone

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Scott W Howe	Name
Title	CEO	Title
Phone	6037884911	Phone
Date Signed	2013-01-30	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Rachel Williamson CPA	Name
PTIN	P00186614	PTIN
Phone	6036697337	Phone
Date Prepared	2013-01-30	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Scott W Howe	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

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	44903371	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.weeksmedical.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1948	YearFormation
State Legal Domicile	NH	StateLegalDomicile
Activity Or Mission Description	To provide high quality and efficient health care services	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	393	TotalNbrEmployees
Total Nbr Volunteers	179	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	716053	ContributionsGrantsPriorYear
Contributions Grants Current Year	898368	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	39525843	ProgramServiceRevenuePriorYear
Program Service Revenue CY	40378848	ProgramServiceRevenueCY
Investment Income Prior Year	409449	InvestmentIncomePriorYear
Investment Income Current Year	415370	InvestmentIncomeCurrentYear
Other Revenue Prior Year	9160	OtherRevenuePriorYear
Other Revenue Current Year	8486	OtherRevenueCurrentYear
Total Revenue Prior Year	40660505	TotalRevenuePriorYear
Total Revenue Current Year	41701072	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	24278907	SalariesEtcPriorYear
Salaries Etc Current Year	24888158	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	18875	TotalFundrsngExpCurrentYear
Other Expense Prior Year	16127651	OtherExpensePriorYear
Other Expenses Current Year	16844240	OtherExpensesCurrentYear
Total Expenses Prior Year	40406558	TotalExpensesPriorYear
Total Expenses Current Year	41732398	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	253947	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-31326	RevenuesLessExpensesCY
Total Assets BOY	39514153	TotalAssetsBOY
Total Assets EOY	42181204	TotalAssetsEOY
Total Liabilities BOY	15032083	TotalLiabilitiesBOY
Total Liabilities EOY	16499537	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	24482070	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	25681667	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	34016915	Expense
Revenue	40378848	Revenue
Description	Health care services to individuals in the surrounding region on an Inpatient & Outpatient basis, which includes Hospital Services, Physician Office services and Home Health & Hospice services.	Description
Total Program Service Expense	34016915	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	40	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	393	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NH	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Scott W Howe	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6037884911	TelephoneNumber

Address US AddressUS

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 Form990PartVIISectionA (26 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Ernest F Angelicola
Trustee	1.00	X	0	0	0
David Atkinson
Vice Chair/Past Treasurer	1.00	X	0	0	0	X
Scott Burns
Trustee/Past Chair	1.00	X	0	0	0	X
George Cook
Trustee	1.00	X	0	0	0
Donald Crane
Secretary	1.00	X	0	0	0	X
Sarah Desrochers
Trustee	1.00	X	0	0	0
Charlie Fitch
Trustee	1.00	X	0	0	0
Stanley Holz
Treasurer/Past Secretary	1.00	X	0	0	0	X
John Howell MD
Past Trustee	1.00	X	0	0	0
Peter Johnson
Past Trustee	1.00	X	0	0	0
Patrick Kelly
Trustee	1.00	X	0	0	0
Patsy Pilgrim
Trustee	1.00	X	0	0	0
Lisa Tetreault
Chair/Past Vice Chair	1.00	X	0	0	0	X
Rebecca More
Honorary Trustee	1.00	X	0	0	0
Marie Thompson
Past Honorary Trustee	1.00	X	0	0	0
Sharon Atkinson
Honorary Trustee	1.00	X	0	0	0
Scott Howe
CEO	40.00	X	214792	0	27056	X
Lars Nielson
CMO	40.00	X	300041	0	32111	X
Wendy Muello MD
Past Medical Staff President	40.00	X	164924	0	31095
John Ford MD
Medical Staff President	40.00	X	344641	0	26245
Celeste Pitts
CFO	40.00		105384	0	12402	X
Paul Kamins MD
Physician	40.00		418904	0	32394		X
Mark Morgan MD
Physician	36.00		385590	0	30729		X
David Pelkowski
Physician	41.00		366580	0	29695		X
Walter Voigt MD
Physician	40.00		338422	0	32395		X
Maude Keeshin
Physician	40.00		329742	0	32395		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2969020	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	286517	TotalOtherCompensation
Number Individuals GT100 K	32	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Kingdom Emergency
815 North Kirby Road	Lyndonville	VT	35851	Emergency Room Physician Coverage	1531433
American Health Centers Inc
10 Commerce Park North Unit 10	Bedford	NH	03110	Mobile Scans	549876
Daniel Hebert Inc
12 Pleasant St	Colebrook	NH	03576	Labor on Building Project	237100
Virtual Radiologic Corp
25983 Network Place	Chicago	IL	60673	Radiology Interpretation Services	235946
GreenPages Technology Solutions
PO Box 843435	Boston	MA	02284	Computer Networking Services	196932

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Government Grants	711478	GovernmentGrants
All Other Contributions	186890	AllOtherContributions
Total Contributions	898368	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service	621400	41352770	41352770
Miscellaneous	621400	600639	600639
Pharmacy	621400	298618	298618
Cafeteria	621400	136581	136581
Provision for bad debt	621400	-2009760	-2009760

Field	Value	IRS element (for citing)
Total Program Service Revenue	40378848	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	413774	TotalRevenueColumn
Exclusion	$413,774	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	3180018	Securities
Other	7800	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	3174676	Securities
Other	11546	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	5342	Securities
Other	-3746	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1596	TotalRevenueColumn
Exclusion	$1,596	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	24563	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	16077	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	8486	TotalRevenueColumn
Exclusion	$8,486	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	41701072	TotalRevenueColumn
Related Or Exempt Function Income	40378848	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$423,856	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1258691	Total
Management And General	1258691	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	19224598	Total
Program Services	16985277	ProgramServices
Management And General	2239321	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	463824	Total
Program Services	411626	ProgramServices
Management And General	52198	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	2664409	Total
Program Services	2303528	ProgramServices
Management And General	360881	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1276636	Total
Program Services	1064204	ProgramServices
Management And General	212432	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	457786	Total
Program Services	84264	ProgramServices
Management And General	373522	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	59958	Total
Management And General	59958	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	60402	Total
Management And General	60402	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	38341	Total
Management And General	38341	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	3979840	Total
Program Services	3709295	ProgramServices
Management And General	270545	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	122849	Total
Program Services	85	ProgramServices
Management And General	103889	ManagementAndGeneral
Fundraising	18875	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	366746	Total
Program Services	111338	ProgramServices
Management And General	255408	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	499972	Total
Management And General	499972	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	967205	Total
Program Services	910078	ProgramServices
Management And General	57127	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	184922	Total
Program Services	162571	ProgramServices
Management And General	22351	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	38345	Total
Program Services	29813	ProgramServices
Management And General	8532	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	475184	Total
Program Services	475184	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2377920	Total
Program Services	2377920	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	292002	Total
Program Services	124699	ProgramServices
Management And General	167303	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Patient Care Supplies	4444697	4444697
MET Taxes	1306776		1306776
Miscellaneous	1171295	822336	348959

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	41732398	Total
Program Services	34016915	ProgramServices
Management And General	7696608	ManagementAndGeneral
Fundraising	18875	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	30	BOY
EOY	30	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	4679790	BOY
EOY	3630327	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	5650300	BOY
EOY	6116902	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	810445	BOY
EOY	783723	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	171047	BOY
EOY	235949	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	37864541	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	20394804	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	16532564	BOY
EOY	17469737	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	11241694	BOY
EOY	12774887	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	428283	BOY
EOY	1169649	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	39514153	BOY
EOY	42181204	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3917239	BOY
EOY	4480437	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	430379	BOY
EOY	1708894	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	9700000	BOY
EOY	9400000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	984465	BOY
EOY	910206	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	15032083	BOY
EOY	16499537	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22995706	BOY
EOY	24131764	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	569450	BOY
EOY	561889	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	916914	BOY
EOY	988014	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	24482070	BOY
EOY	25681667	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	39514153	BOY
EOY	42181204	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-31326	ReconcilationRevenueExpenses
Reconcilation Other Changes	1230923	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$11,288	OtherActivitiesAmount
Total Lobbying Expenditures IIB	11288	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1031277	BeginningOfYearBalance
Contributions	46100	Contributions
Investment Earnings Or Losses	29235	InvestmentEarningsOrLosses
Other Expenditures	-25000	OtherExpenditures
End Of Year Balance	1131612	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1662763	BeginningOfYearBalance
Contributions	5000	Contributions
Investment Earnings Or Losses	-67822	InvestmentEarningsOrLosses
Other Expenditures	568664	OtherExpenditures
End Of Year Balance	1031277	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1591035	BeginningOfYearBalance
Investment Earnings Or Losses	118038	InvestmentEarningsOrLosses
Other Expenditures	46310	OtherExpenditures
End Of Year Balance	1662763	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	1517579	BeginningOfYearBalance
Investment Earnings Or Losses	123226	InvestmentEarningsOrLosses
Other Expenditures	49770	OtherExpenditures
End Of Year Balance	1591035	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	0.87310	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.12690	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	462709	OtherCostOrOtherBasis
Book Value	462709	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13082495	OtherCostOrOtherBasis
Depreciation	6865164	Depreciation
Book Value	6217331	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	23407139	OtherCostOrOtherBasis
Depreciation	13202462	Depreciation
Book Value	10204677	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	912198	OtherCostOrOtherBasis
Depreciation	327178	Depreciation
Book Value	585020	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	17469737	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Capital Leases	$47,148
Interest Rate Swap	$863,058

Field	Value	IRS element (for citing)
Total Of Amounts	910206	TotalOfAmounts
Total Revenue	41701072	TotalRevenue
Total Expenses	41732398	TotalExpenses
Excess Or Deficit For Year	-31326	ExcessOrDeficitForYear
Net Unrealized GL On Investments	1271943	NetUnrealizedGLOnInvestments
Other	-$41,020	OtherAmount
Total Adjustments	1230923	TotalAdjustments
Excess Or Deficit Per FS	1199597	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	42909731	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1271943	NetUnrealizedGainsInvestments
Other Revenues	16077	OtherRevenues
Revenue Not Rptd F990	1288020	RevenueNotRptdF990
Revenue Subtotal	41621711	RevenueSubtotal
Investment Expenses Not Included	38341	InvestmentExpensesNotIncluded
Other Revenues Not Included	41020	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	79361	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	41701072	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	41710134	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	16077	OtherExpensesIncluded
Expenses Not Rptd F990	16077	ExpensesNotRptdF990
Expenses Subtotal	41694057	ExpensesSubtotal
Investment Expenses Not Included2	38341	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	38341	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	41732398	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	ExplanationExplanation
Part XI, Line 8 - Other Adjustments:	Unrealized Loss on Interest Rate Swap -41,020.
Part XII, Line 2d - Other Adjustments:	Fundraising Expenses 16,077.
Part XII, Line 4b - Other Adjustments:	Unrealized Loss on Interest Rate Swap 41,020.
Part XIII, Line 2d - Other Adjustments:	Fundraising Expenses 16,077.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Hospice Ball	NameOfEvent1
Gross Receipts Event1	24563	GrossReceiptsEvent1
Gross Revenue Event1	24563	GrossRevenueEvent1
Other Direct Expenses Event1	16077	OtherDirectExpensesEvent1
Gross Receipts Total	24563	GrossReceiptsTotal
Gross Revenue Total Events	24563	GrossRevenueTotalEvents
Other Direct Expenses Total Events	16077	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	16077	DirectExpenseSummaryEvents
Net Income Summary	8486	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	300.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2668891	TotalCommunityBenefitExpense
Direct Offsetting Revenue	727317	DirectOffsettingRevenue
Net Community Benefit Expense	1941574	NetCommunityBenefitExpense
Percent Of Total Expense	0.04650	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5037188	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4379600	DirectOffsettingRevenue
Net Community Benefit Expense	657588	NetCommunityBenefitExpense
Percent Of Total Expense	0.01580	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1959012	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1347852	DirectOffsettingRevenue
Net Community Benefit Expense	611160	NetCommunityBenefitExpense
Percent Of Total Expense	0.01460	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9665091	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6454769	DirectOffsettingRevenue
Net Community Benefit Expense	3210322	NetCommunityBenefitExpense
Percent Of Total Expense	0.07690	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	911264	TotalCommunityBenefitExpense
Direct Offsetting Revenue	62769	DirectOffsettingRevenue
Net Community Benefit Expense	848495	NetCommunityBenefitExpense
Percent Of Total Expense	0.02030	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	660624	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5955	DirectOffsettingRevenue
Net Community Benefit Expense	654669	NetCommunityBenefitExpense
Percent Of Total Expense	0.01570	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4206189	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3739885	DirectOffsettingRevenue
Net Community Benefit Expense	466304	NetCommunityBenefitExpense
Percent Of Total Expense	0.01120	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5778077	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3808609	DirectOffsettingRevenue
Net Community Benefit Expense	1969468	NetCommunityBenefitExpense
Percent Of Total Expense	0.04720	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	15443168	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10263378	DirectOffsettingRevenue
Net Community Benefit Expense	5179790	NetCommunityBenefitExpense
Percent Of Total Expense	0.12410	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	40781	TotalCommunityBuildingExpense
Net Community Building Expense	40781	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	46818	TotalCommunityBuildingExpense
Net Community Building Expense	46818	NetCommunityBuildingExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	16527	TotalCommunityBuildingExpense
Net Community Building Expense	16527	NetCommunityBuildingExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	3686	TotalCommunityBuildingExpense
Net Community Building Expense	3686	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	107812	TotalCommunityBuildingExpense
Net Community Building Expense	107812	NetCommunityBuildingExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Amount Reimbursed By Medicare	20972132	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	20972132	CostOfCareReimbursedByMedicare

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Weeks Medical Center Hospital	BusinessNameLine1

Address Address

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	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Weeks Medical Center	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	300.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	300.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
State Regulation	X	StateRegulation
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Permit Lawsuit	X	PermitLawsuit
Permit Lien On Residence	X	PermitLienOnResidence
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Lawsuit	X	Lawsuit
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Average Negotiated Rates	X	AverageNegotiatedRates
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	1	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	6	NumberOfOtherFacilities

Other Facilities OtherFacilities (6 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 7: Cost to charge ratio
Part I, Line 7g: Chronic Disease Management, Emergency Department, Family Planning Program, Geriatric Psychiatrist, Psychiatric Consultations, Child Psychology Program
Part III, Line 8: The entire shortfall is treated as community benefit. Cost to charge ratio from the Medicare cost report was used.
Part V, Section B, Line 13g: 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 21: Patients with a non-contracted insurance may have their insurance billed to gross charges - no discount. This is rare and usually only applies to some worker's compensation companies.	Weeks Medical Center
Part VI, Line 2: In the summer of 2007, 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 have become part of the overall 2009-2013 Strategic Plan.
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.With the recent merger of WMC - Home Health and Hospice with the Upper Connecticut Valley Hospital - Home Health, the service area for homecare services have expanded to include Clarksville, Colebrook, Columbia, Errol, Pittsburg, and Stewartstown. The expanded territory includes an additional 804 square miles and 5,542 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.
NH	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Scott Howe
201557	0	0	0	13235	0	6710	0	20346	0	241848	0	0	0
Lars Nielson
278041	0	0	0	22000	0	7350	0	24761	0	332152	0	0	0
Wendy Muello MD
142918	0	0	0	22006	0	5284	0	25811	0	196019	0	0	0
John Ford MD
328141	0	0	0	16500	0	7350	0	18895	0	370886	0	0	0
Paul Kamins MD
396904	0	0	0	22000	0	7350	0	25044	0	451298	0	0	0
Mark Morgan MD
369090	0	0	0	16500	0	7350	0	23379	0	416319	0	0	0
David Pelkowski
366580	0	0	0	0	0	4900	0	24795	0	396275	0	0	0
Walter Voigt MD
331446	0	0	0	6976	0	7350	0	25045	0	370817	0	0	0
Maude Keeshin
307742	0	0	0	22000	0	7350	0	25045	0	362137	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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)
Date Issued	2010-09-01	DateIssued
Issue Price	10000000	IssuePrice
Description Of Purpose	Refinance existing debt and finance the Hospital's contruction project	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	600000	AmountRetired
Total Proceeds	10000000	TotalProceeds
Issuance Costs From Proceeds	112960	IssuanceCostsFromProceeds
Working Capital Expenditures	9887040	WorkingCapitalExpenditures
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 survery and approval of the full Board and Compensation Committee. Other officers have their compensation determined through a state compensation survery, 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 XI, line 5:	Net unrealized gains on investments: 1,271,943. Unrealized Loss on Interest Rate Swap -41,020. Total to Form 990, Part XI, Line 5: 1,230,923.	Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2c	The organization has not changed its selection or oversight process during the tax year.
Form 990, Part X, Line 11	The Balance Sheet reflects the GAAP value of the following partnership investments: New England Pharmacy Collaborative, LLC which had a September 30, 2011 year end and an ending capital account of $658.

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Northern NH Healthcare Collaborative LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	59 Paige Hill Road	AddressLine1
City	Berlin	City
State	NH	State
ZIP Code	035703542	ZIPCode

Field	Value	IRS element (for citing)
EIN	455617105	EIN
Primary Activity	Health Care Collaborative	PrimaryActivity
Legal Domicile State	NH	LegalDomicileState
Predominant Income Type	Related	PredominantIncomeType
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	1	GeneralOrManagingPartner
Percentage Ownership	0.33333	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	0	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg