WEEKS MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
WEEKS MEDICAL CENTER (EIN 02-0222242)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-01
IRS object ID
201210619349301286
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-03-01T09:22:57-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11000 Elm Street 15th FloorAddressLine1
CityManchesterCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020222242EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Weeks Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWEEKNameControl
Phone6037884911Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1173 Middle StreetAddressLine1
CityLancasterCity
StateNHState
ZIP Code03584ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameScott W HoweName
TitleCEOTitle
Phone6037884911Phone
Date Signed2012-03-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel Williamson CPAName
Phone6036697337Phone
Date Prepared2012-03-01DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonScott W HoweNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1173 Middle StreetAddressLine1
CityLancasterCity
StateNHState
ZIP Code03584ZIPCode
FieldValueIRS element (for citing)
Gross Receipts45826096GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.weeksmedical.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionTo provide high quality and efficient health care servicesActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees413TotalNbrEmployees
Total Nbr Volunteers167TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year602984ContributionsGrantsPriorYear
Contributions Grants Current Year716053ContributionsGrantsCurrentYear
Program Service Revenue Prior Year43805464ProgramServiceRevenuePriorYear
Program Service Revenue CY39525843ProgramServiceRevenueCY
Investment Income Prior Year617897InvestmentIncomePriorYear
Investment Income Current Year409449InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year9160OtherRevenueCurrentYear
Total Revenue Prior Year45026345TotalRevenuePriorYear
Total Revenue Current Year40660505TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24112576SalariesEtcPriorYear
Salaries Etc Current Year24278907SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year11886TotalFundrsngExpCurrentYear
Other Expense Prior Year20552296OtherExpensePriorYear
Other Expenses Current Year16127651OtherExpensesCurrentYear
Total Expenses Prior Year44664872TotalExpensesPriorYear
Total Expenses Current Year40406558TotalExpensesCurrentYear
Revenues Less Expenses Prior Year361473RevenuesLessExpensesPriorYear
Revenues Less Expenses CY253947RevenuesLessExpensesCY
Total Assets BOY40037587TotalAssetsBOY
Total Assets EOY39514153TotalAssetsEOY
Total Liabilities BOY15516919TotalLiabilitiesBOY
Total Liabilities EOY15032083TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY24520668NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24482070NetAssetsOrFundBalancesEOY
Mission DescriptionWeeks 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense33214082Expense
Revenue39525843Revenue
DescriptionHealth 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 Expense33214082TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees413NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Scott W HoweBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6037884911TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1173 Middle StreetAddressLine1
CityLancasterCity
StateNHState
ZIP Code03584ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Ernest F Angelicola
Trustee1.00X000
David Atkinson
Treasurer1.00X000X
Scott Burns
Chair1.00X000X
George Cook
Trustee1.00X000
Donald Crane
Trustee1.00X000
Sarah Desrochers
Trustee1.00X000
Charlie Fitch
Trustee1.00X000
Stanley Holz
Secretary1.00X000
John Howell MD
Trustee1.00X000
Peter Johnson
Trustee1.00X000
Patrick Kelly
Trustee1.00X000
Patsy Pilgrim
Trustee1.00X000
Lisa Tetreault
Vice Chair1.00X000
Rebecca More
Honorary Trustee1.00X000
Marie Thompson
Honorary Trustee1.00X000
Scott Howe
CEO40.00X213548028544X
Lars Nielson
CMO40.00X296729035604X
Wendy Muello MD
Medical Staff President40.00X156508041862X
Celeste Pitts
CFO40.00101326019123X
Gail Tattan-Giampaolo
Director HH/Hospice40.0076474010986X
Attila Barabas MD
Physician40.00449902041173X
Paul Kamins MD
Physician40.00415267039801X
Mark Morgan MD
Physician36.00371256037735X
David Pelkowski
Physician41.00355729030662X
Walter Voigt MD
Physician40.00330525037279X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2690790TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation311783TotalOtherCompensation
Number Individuals GT100 K34NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Kingdom Emergency
815 North Kirby RoadLyndonvilleVT35851Emergency Room Physician Coverage1491272
American Health Centers Inc
10 Commerce Park North Unit 10BedfordNH03110Mobile Scans551968
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants625647GovernmentGrants
All Other Contributions90406AllOtherContributions
Total Contributions716053TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Patient Service6214004126658441266584
Miscellaneous621400508479508479
Pharmacy621400147880147880
Cafeteria621400134163134163
Provision for bad debt621400-2531263-2531263
FieldValueIRS element (for citing)
Total Program Service Revenue39525843TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column401627TotalRevenueColumn
Exclusion$401,627ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5157057Securities
Other686Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5149921Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities7136Securities
Other686Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column7822TotalRevenueColumn
Exclusion$7,822ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events24830GrossIncomeFundraisingEvents
Fundraising Direct Expenses15670FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column9160TotalRevenueColumn
Exclusion$9,160ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column40660505TotalRevenueColumn
Related Or Exempt Function Income39525843RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$418,609ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1142099Total
Management And General1142099ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18855477Total
Program Services16588158ProgramServices
Management And General2267319ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total480365Total
Program Services435154ProgramServices
Management And General45211ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2562225Total
Program Services2240101ProgramServices
Management And General322124ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1238741Total
Program Services1035711ProgramServices
Management And General203030ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total342290Total
Program Services60553ProgramServices
Management And General281737ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total26002Total
Management And General26002ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74070Total
Management And General74070ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total36504Total
Management And General36504ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3936400Total
Program Services3787874ProgramServices
Management And General148526ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total75347Total
Management And General73610ManagementAndGeneral
Fundraising1737Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total361015Total
Program Services112563ProgramServices
Management And General248452ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total386183Total
Management And General386183ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total912568Total
Program Services883477ProgramServices
Management And General29091ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total177604Total
Program Services157650ProgramServices
Management And General19954ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total41330Total
Program Services34322ProgramServices
Management And General7008ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total492071Total
Program Services492071ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2092908Total
Program Services2092908ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total289779Total
Program Services252371ProgramServices
Management And General37408ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Patient Care Supplies42815764281576
MET Taxes15118051511805
Miscellaneous109019975959332045710149

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40406558Total
Program Services33214082ProgramServices
Management And General7180590ManagementAndGeneral
Fundraising11886Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY30BOY
EOY30EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4135439BOY
EOY4679790EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6058111BOY
EOY5650300EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY698708BOY
EOY810445EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY190383BOY
EOY171047EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35235982LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18703418LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14330916BOY
EOY16532564EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11496192BOY
EOY11241694EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3127808BOY
EOY428283EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY40037587BOY
EOY39514153EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4054106BOY
EOY3917239EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY382876BOY
EOY430379EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY10000000BOY
EOY9700000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1079937BOY
EOY984465EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15516919BOY
EOY15032083EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22420389BOY
EOY22995706EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1188365BOY
EOY569450EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY911914BOY
EOY916914EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24520668BOY
EOY24482070EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40037587BOY
EOY39514153EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses253947ReconcilationRevenueExpenses
Reconcilation Other Changes-292545ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,484OtherActivitiesAmount
Total Lobbying Expenditures IIB10484TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationWeeks Medical Center is a member of the New Hampshire Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of WMC and other member organizations in furtherance of their exempt purposes. WMC does not directly perform any lobbying activities.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1662763BeginningOfYearBalance
Contributions5000Contributions
Investment Earnings Or Losses-67822InvestmentEarningsOrLosses
Other Expenditures568664OtherExpenditures
End Of Year Balance1031277EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1591035BeginningOfYearBalance
Investment Earnings Or Losses118038InvestmentEarningsOrLosses
Other Expenditures46310OtherExpenditures
End Of Year Balance1662763EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1517579BeginningOfYearBalance
Investment Earnings Or Losses123226InvestmentEarningsOrLosses
Other Expenditures49770OtherExpenditures
End Of Year Balance1591035EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.88910PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11090TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis462709OtherCostOrOtherBasis
Book Value462709BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13047144OtherCostOrOtherBasis
Depreciation6376273Depreciation
Book Value6670871BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis19797775OtherCostOrOtherBasis
Depreciation12012354Depreciation
Book Value7785421BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1928354OtherCostOrOtherBasis
Depreciation314791Depreciation
Book Value1613563BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings16532564TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Capital Leases$162,427
Interest Rate Swap$822,038
FieldValueIRS element (for citing)
Total Of Amounts984465TotalOfAmounts
Total Revenue40660505TotalRevenue
Total Expenses40406558TotalExpenses
Excess Or Deficit For Year253947ExcessOrDeficitForYear
Net Unrealized GL On Investments-275428NetUnrealizedGLOnInvestments
Other-$17,117OtherAmount
Total Adjustments-292545TotalAdjustments
Excess Or Deficit Per FS-38598ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt40347126TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-275428NetUnrealizedGainsInvestments
Other Revenues15670OtherRevenues
Revenue Not Rptd F990-259758RevenueNotRptdF990
Revenue Subtotal40606884RevenueSubtotal
Investment Expenses Not Included36504InvestmentExpensesNotIncluded
Other Revenues Not Included17117OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt53621RevenueNotRptdOnFinStmt
Total Revenue Per Form99040660505TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt40385724TotExpensesEtcAuditedFinclStmt
Other Expenses Included15670OtherExpensesIncluded
Expenses Not Rptd F99015670ExpensesNotRptdF990
Expenses Subtotal40370054ExpensesSubtotal
Investment Expenses Not Included236504InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt36504ExpensesNotRptdOnFinStmt
Total Expenses Per Form99040406558TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanation
Part XI, Line 8 - Other Adjustments:Unrealized Loss on Interest Rate Swap -17,117.
Part XII, Line 2d - Other Adjustments:Fundraising Expenses 15,670.
Part XII, Line 4b - Other Adjustments:Unrealized Loss on Interest Rate Swap 17,117.
Part XIII, Line 2d - Other Adjustments:Fundraising Expenses 15,670.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Hospice BallNameOfEvent1
Gross Receipts Event124830GrossReceiptsEvent1
Gross Revenue Event124830GrossRevenueEvent1
Other Direct Expenses Event115670OtherDirectExpensesEvent1
Gross Receipts Total24830GrossReceiptsTotal
Gross Revenue Total Events24830GrossRevenueTotalEvents
Other Direct Expenses Total Events15670OtherDirectExpensesTotalEvents
Direct Expense Summary Events15670DirectExpenseSummaryEvents
Net Income Summary9160NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense2560828TotalCommunityBenefitExpense
Direct Offsetting Revenue842397DirectOffsettingRevenue
Net Community Benefit Expense1718431NetCommunityBenefitExpense
Percent Of Total Expense0.04250PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense4723771TotalCommunityBenefitExpense
Direct Offsetting Revenue3991397DirectOffsettingRevenue
Net Community Benefit Expense732374NetCommunityBenefitExpense
Percent Of Total Expense0.01810PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense7284599TotalCommunityBenefitExpense
Direct Offsetting Revenue4833794DirectOffsettingRevenue
Net Community Benefit Expense2450805NetCommunityBenefitExpense
Percent Of Total Expense0.06060PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs14NumberOfActivitiesOrPrograms
Total Community Benefit Expense967966TotalCommunityBenefitExpense
Direct Offsetting Revenue103274DirectOffsettingRevenue
Net Community Benefit Expense864692NetCommunityBenefitExpense
Percent Of Total Expense0.02140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense662624TotalCommunityBenefitExpense
Direct Offsetting Revenue12498DirectOffsettingRevenue
Net Community Benefit Expense650126NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense4169756TotalCommunityBenefitExpense
Direct Offsetting Revenue3895227DirectOffsettingRevenue
Net Community Benefit Expense274529NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs23NumberOfActivitiesOrPrograms
Total Community Benefit Expense5800346TotalCommunityBenefitExpense
Direct Offsetting Revenue4010999DirectOffsettingRevenue
Net Community Benefit Expense1789347NetCommunityBenefitExpense
Percent Of Total Expense0.04430PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs25NumberOfActivitiesOrPrograms
Total Community Benefit Expense13084945TotalCommunityBenefitExpense
Direct Offsetting Revenue8844793DirectOffsettingRevenue
Net Community Benefit Expense4240152NetCommunityBenefitExpense
Percent Of Total Expense0.10490PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Amount Reimbursed By Medicare18098550AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare19889453CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1790903MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Weeks Medical Center HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1173 Middle StreetAddressLine1
CityLancasterCity
StateNHState
ZIP Code03584ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Critical Access HospitalXCriticalAccessHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Weeks Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Average Negotiated RatesXAverageNegotiatedRates

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Lancaster Physicians Offices
170 Middle StreetLancasterNH03584Physician Office for primary care
Weeks Home Health
278 Main StreetLancasterNH03584Home Health & Hospice Services
Whitefield Physicians Offices
8 Clover LaneWhitefieldNH03598Physician Office for primary care
Groveton Physicians Offices
12 Church StreetGrovetonNH03582Physician Office for primary care
Weeks Home Health
120 Main StreetColebrookNH03576Home Health & Hospice Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanationIdentifierIdentifierReturn 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 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 Clarkesville, 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 6: 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.
NHReports Filed With StatesPart VI, Line 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Scott Howe
2047800008768065760219680242092000
Lars Nielson
27472900022000090510265530332333000
Wendy Muello MD
134508000220000155930262690198370000
Attila Barabas MD
44078500091170139830271900491075000
Paul Kamins MD
393272000219950126120271890455068000
Mark Morgan MD
354833000164230112930264420408991000
David Pelkowski
3557290000037220269400386391000
Walter Voigt MD
32379900067260100890271900367804000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Business Finance Authority of the State of NHBusinessNameLine1
FieldValueIRS element (for citing)
Date Issued2010-09-01DateIssued
Issue Price10000000IssuePrice
Description Of PurposeRefinance existing debt and finance the Hospital's contruction projectDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds10000000TotalProceeds
Issuance Costs From Proceeds112960IssuanceCostsFromProceeds
Working Capital Expenditures9887040WorkingCapitalExpenditures
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11The Finance Committe reviews the Form 990 and provides a copy to each member prior to submission.
The organization requires the Board Members to review and sign a Conflict of Interest Policy annually. The organization also provides annual 990 questionaires 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 12c
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 B, line 15
The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -275,428. Unrealized Loss on Interest Rate Swap -17,117. Total to Form 990, Part XI, Line 5: -292,545.Form 990, Part XI, line 5:
The organization has not changed it selection or oversight process during the tax year.Form 990, Part XII, Line 2c

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